Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest . There is hyperinflation of the lungs with vascular deficiency in the apices , along with increased AP diameter and flattening of diaphragms , consistent with COPD . Otherwise , the lungs are clear . The cardiac , mediastinal , and hilar contours are normal . No pleural abnormality is detected . Moderate to severe degenerative changes of the thoracic spine are noted .
    OUTPUT:
    
Changes consistent with COPD with no acute cardiopulmonary process .