Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable with cardiac size top normal and tortuous aorta . The lungs are hyperinflated . Faint increasing opacities in the right peripheral lower lobe and biapical pleural parenchymal scar are unchanged . There are no new lung abnormalities . there is no pneumothorax or pleural effusion . There are moderate degenerative changes in the thoracic spine
    OUTPUT:
    
COPD . No acute cardiopulmonary abnormalities