Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . Lungs are hyperexpanded , consistent with chronic lung disease . There is no focal consolidation , pleural effusion or pneumothorax . There are prominent costochondral calcifications bilaterally . There is thoracic spine dextroscoliosis and the bones are diffusely osteopenic .
    OUTPUT:
    
Hyperinflated lungs consistent with COPD . No acute cardiopulmonary process identified .