Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lordotic positioning . Extreme posterior portion of the chest is excluded from the lateral view . The lungs are hyperinflated , suggesting COPD . Heart size is mildly enlarged . Within the limits of plain film radiography , no hilar or mediastinal lymphadenopathy is detected . The aortic contour is within normal limits . Smooth , hazy soft tissue density in the right paratracheal region likely reflects the silhouette of the SVC , together with mediastinal fat . No CHF , focal consolidation , pleural effusion or pneumothorax is detected . Incidental note is made of ossification of the anterior longitudinal ligament of the thoracic spine .
    OUTPUT:
    
No acute pulmonary process identified . Background hyperinflation noted .