Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours are normal . The pulmonary vascularity is normal . Lungs are hyperinflated . No focal consolidation , pleural effusion or pneumothorax is seen . Minimal scarring is noted within the lung apices . No acute osseous abnormalities are detected . Anterior cervical fusion hardware is not well assessed on these views .
    OUTPUT:
    
No acute cardiopulmonary process . Hyperinflated lungs may suggest underlying COPD .