Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . There may be slight upper retraction of the hila likely due to chronic changes at the right greater than left lung apices . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is mild to moderately enlarged . The aorta is tortuous . Surgical clips are noted overlying the right lateral lower hemithorax . Multiple left - sided chronic appearing rib deformities are seen which suggest prior fractures .
    OUTPUT:
    
COPD without focal consolidation or pulmonary edema . Cardiomegaly .