Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with mild flattening of the diaphragm , compatible with COPD . No focal consolidation is identified . There is again tortuosity of the thoracic aorta . No evidence of pulmonary edema or pleural effusion . No pneumothorax . The heart size is unchanged . Wedge compression fracture of low thoracic vertebral body is better seen on lateral view .
    OUTPUT:
    
Hyperinflated lungs with flattening of the diaphragm , compatible with COPD . No focal consolidation identified .