Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with lucency projecting over regions of the lungs particularly upper to mid lung zones . Findings are suggestive of underlying emphysema . There is no focal consolidation , effusion , or edema . Calcified nodule projects over the left first rib also noted on the lateral view . Cardiomediastinal silhouette is within normal limits . Atherosclerotic calcifications of the aorta are noted . No acute osseous abnormalities .
    OUTPUT:
    
Hyperinflation with findings suggestive of COPD .