Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with associated flattening of diaphragms , suggesting chronic pulmonary disease . The lungs are otherwise clear . No focal consolidation , pulmonary edema , pleural effusion , or pneumothorax . The heart size is normal . Mediastinal contours , hila , and pleura are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process , including no pneumonia or lung collapse .