Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Lungs are clear . Hyperinflation of the lungs , best demonstrated on the lateral view , is suggestive of COPD in the appropriate clinical setting . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . Healed left rib fractures are incidentally noted as well as scoliosis
    OUTPUT:
    
No acute cardiopulmonary abnormality . Hyperinflated lungs , suggestive of COPD in the appropriate clinical setting .