Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Lungs are hyperinflated , suggesting chronic obstructive pulmonary disease . Thoracic kyphosis and compression deformity of mid thoracic vertebral body is also seen on the prior study . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . Previously seen small bilateral pleural effusions are no longer evident . The aorta is calcified and tortuous . The cardiac silhouette is top normal . There is diffuse osteopenia . Degenerative changes at the shoulder joints again seen .
    OUTPUT:
    
COPD . No focal consolidation .