Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear of consolidation . Note is made of bilateral nipple shadows projecting over the lung bases . Cardiac silhouette is mildly enlarged . Hypertrophic changes are noted in the spine . No acute osseous abnormalities identified .
    OUTPUT:
    
Hyperinflation without superimposed acute cardiopulmonary process .