Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with increased AP diameter , compatible with COPD . There is no focal consolidation , pleural effusion , or pneumothorax . Heart size and mediastinal contours are stable . Degenerative changes of the thoracic spine are moderate but there is no compression deformity . Imaged portion of the right humerus is intact .
    OUTPUT:
    
1 . Findings compatible with COPD . 2 . No acute cardiopulmonary process .