Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms and increased AP diameter , suggesting chronic obstructive pulmonary disease . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are unremarkable . Some degenerative changes are seen along the spine , right acromioclavicular joint and right glenohumeral joint . The right humeral head is high - riding which can be seen in rotator cuff disease .
    OUTPUT:
    
COPD . No focal consolidation to suggest pneumonia .