Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Fusion hardware is partially imaged in the lower C - spine . The lungs appear clear without focal consolidation , effusion , or pneumothorax . The lungs appear hyperinflated which likely reflects underlying COPD . No effusion or pneumothorax . Cardiomediastinal silhouette is normal . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
No acute findings in the chest .