Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and clear . No pleural effusion or pneumothorax . A tiny rounded nodular opacity projecting over the right upper lung is unchanged from ___ . Heart size , mediastinal contour , and hila are unremarkable . Limited assessment of the osseous structures are notable for mild degenerative changes of thoracolumbar spine . No displaced rib fracture .
    OUTPUT:
    
Hyperinflated lungs consistent with emphysema or COPD . No pneumonia .