Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Mild cardiomegaly persists . There is stable appearance of an old known mid thoracic spine compression fracture . A lower thoracic spine compression fracture is new at least since ___ . No pneumothorax , pneumonia , or frank pulmonary edema .
    OUTPUT:
    
1 . Hyperinflated lungs , compatible with COPD . No acute cardiopulmonary process . 2 . Lower thoracic compression fracture , new since at least ___ .