Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . Mild bilateral apical pleural thickening is noted . The lungs are overinflated with flattened hemidiaphragms , compatible with COPD . The lungs are clear without focal consolidation concerning for pneumonia . The upper abdomen is unremarkable in appearance . Degenerative changes are seen in the mid thoracic spine . Irregularity of several left lower lateral ribs is likely due to prior fracture .
    OUTPUT:
    
No acute cardiopulmonary process .