Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is normal . Lungs remain hyperinflated suggestive of underlying COPD . No focal consolidation , pleural effusion or pneumothorax is demonstrated . Severe multilevel degenerative changes are re - demonstrated in the thoracic spine with large osteophytes .
    OUTPUT:
    
No acute cardiopulmonary abnormality .