Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate hyperinflated lungs , consistent with COPD . The cardiac size is within normal limits . The contour of the ascending aorta is prominent , either related to an aneurysm or tortuosity . No focal consolidation , pleural effusion , or pneumothorax is seen . A calcified granuloma in the left upper lobe is clinically insignificant . There is no evidence of reactivation infection . Right posterior middle rib fractures are well - healed
    OUTPUT:
    
No focal consolidation to suggest an infectious process .