Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are mildly hyperinflated suggesting background COPD . No pleural effusion , focal consolidation or pneumothorax is present . The pulmonary vasculature is not engorged . The cardiac silhouette is mildly enlarged but stable with a left ventricular configuration . The aortic knob is partially calcified , with a markedly tortuous and unfolded thoracic aorta . Calcification of the central tracheobronchial tree is also noted . Scoliosis and degenerative changes of the thoracic spine are seen with probable loss of vertebral height , but no compression fractures .
    OUTPUT:
    
No acute cardiopulmonary process . Findings were communicated by Dr . ___ to Dr . ___ by phone at 11 :48 p .m . on ___ .