Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no focal consolidation , effusion , or pneumothorax . There is mild biapical pleural thickening . The cardiomediastinal silhouette is normal . Anterior compression deformity of T11 is similar to prior . .
    OUTPUT:
    
No acute intrathoracic process . COPD