Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . There is no lobar consolidation , pleural effusion , or pneumothorax . Cardiomediastinal silhouette is unremarkable . Multiple left - sided rib deformities and healed left clavicular fracture are unchanged .
    OUTPUT:
    
Hyperinflated lungs but no acute cardiopulmonary process .