Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are within normal limits . There are mild atherosclerotic calcifications across the aortic arch . The lungs are hyperinflated , with flattened diaphragms , reflecting chronic obstructive disease . There is no pneumothorax , focal consolidation , or pleural effusion . A right biceps anchor is present .
    OUTPUT:
    
1 . No acute intrathoracic process . 2 . COPD .