Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The mediastinal and hilar contours are unchanged . Scarring within the lung apices is similar . Lungs are hyperinflated without focal consolidation . No pleural effusion or pneumothorax is visualized . Pulmonary vasculature is normal . Diffuse demineralization of the osseous structures is noted .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Hyperinflated lungs likely reflective of COPD .