Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unremarkable . Lungs are hyperinflated with flattening of the diaphragms suggestive of COPD . No focal consolidation is present . Pulmonary vasculature is normal . No pleural effusion or pneumothorax is present . Multilevel degenerative changes are noted in the imaged thoracic spine with kyphoscoliosis .
    OUTPUT:
    
No acute cardiopulmonary abnormality .