Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs remain hyperinflated consistent with COPD . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable with the aorta tortuous and potentially dilated proximal to the diaphragmatic hiatus , similar to prior .
    OUTPUT:
    
No acute cardiopulmonary process .