Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours are within normal limits . Volume loss with traction bronchiectasis and calcified granulomas in the left upper lobe are unchanged , with the remainder of the lungs appearing clear . No focal consolidation is seen . Lungs are hyperinflated suggestive of underlying COPD . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
No acute cardiopulmonary process .