Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were provided . The lungs are hyperexpanded and there is prominence of interstitial markings consistent with COPD . There is no focal consolidation , pleural effusion , or pneumothorax . A calcified granuloma is present in the left upper lobe . Cardiomediastinal silhouette is normal and unchanged from the prior radiograph . Osseous structures demonstrate no bony abnormality .
    OUTPUT:
    
Findings consistent with COPD . No acute cardiopulmonary process .