Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no evidence of focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is within normal limits . The descending thoracic aorta is mildly tortuous without change . Cervical spine fusion hardware is partially imaged .
    OUTPUT:
    
Hyperexpanded lungs without evidence of acute cardiopulmonary process .