Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated without focal consolidation . No pleural effusion or pneumothorax is demonstrated . Heart size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Hypertrophic changes are again noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Lung hyperinflation compatible with history of COPD .