Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest , PA and lateral . The lungs are hyperinflated and clear . Moderate cardiomegaly , particularly involving the right heart is unchanged . The hilar and mediastinal contours are normal . There is no pneumothorax or pleural effusion . Pulmonary vascularity is normal . Median sternotomy cerclage wires are intact and there are surgical clips in the mediastinum .
    OUTPUT:
    
1 . No evidence of pneumonia . 2 . Hyperinflation of the lungs is suggestive of COPD .