Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . The lungs are hyperinflated and there is flattening of the diaphragms , consistent with chronic pulmonary disease . The upper lobes are more severely affected . No acute focal pneumonia is identified . There are no pleural effusions or pneumothorax .
    OUTPUT:
    
Chronic pulmonary disease with no radiographic evidence of an acute cardiopulmonary process .