Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs appear hyperexpanded suggesting underlying chronic obstructive pulmonary disease . No focal consolidations are identified . Multifocal scarring is noted in the right upper and mid lung along with bilateral foci of bronchial wall thickening . Cardiac silhouette appears stable at upper limits of normal . The thoracic aorta is tortuous but stable . The pulmonary arteries again appear enlarged suggesting pulmonary arterial hypertension . There is no pleural effusion . No acute fractures are identified .
    OUTPUT:
    
No acute cardiopulmonary process .