Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs appear mildly hyperinflated suggesting COPD . The trachea is central . The cardiomediastinal contour is normal . The heart is not enlarged . Pleural thickening and probable calcifications of the bilateral lung apices likely reflects prior granulomatous disease . Deformity of the right fourth rib is consistent with an old healed fracture . No lobar consolidation , pneumothorax or pleural effusion seen . Bones appear diffusely demineralized .
    OUTPUT:
    
No acute cardiopulmonary process seen .