Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms , compatible with underlying COPD . The heart size is mildly enlarged . The aortic knob is calcified . The mediastinal and hilar contours are within normal limits . Pulmonary vascularity is normal . Subsegmental atelectasis is noted within the lingula . No focal consolidation , pleural effusion , or pneumothorax is present . A 4 - mm calcified nodule in the right upper lung field is likely a granuloma . There is no pleural effusion or pneumothorax . Mild degenerative changes of the thoracic spine are noted . No acute osseous abnormality is seen .
    OUTPUT:
    
Hyperinflated lungs suggestive of underlying COPD . No acute cardiopulmonary abnormality .