Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no focal consolidation . There is biapical calcified pleural thickening . The heart is normal in size . The aorta is mildly tortuous and calcified . Mediastinal structures are otherwise unremarkable . The bony thorax is grossly intact . There are degenerative changes in the spine .
    OUTPUT:
    
COPD . No acute change .