Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and the diaphragms are flattened , consistent with COPD . There is mild cardiomegaly . There is possible minimal upper zone redistribution , without other evidence of CHF . No gross effusion is detected . Minimal linear atelectasis or scarring is noted in one of the lower zones , question on the right . A right - sided indwelling Port - A - Cath type catheter is present , with tip over the right atrium in the region of the SVC / RA junction . Incidental note is made of an intramedullary rod transfixing an un - united transverse fracture of the left mid humerus . Multilevel degenerative changes noted in the visualized portion of the spine .
    OUTPUT:
    
COPD and mild cardiomegaly . No CHF , focal infiltrate or acute pulmonary process identified .