Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with increased retrosternal clear space , consistent with underlying COPD . The lungs are clear without focal consolidation , pleural effusion or pneumothorax . Heart size is normal . Mediastinal silhouette and hilar contours are normal .
    OUTPUT:
    
No pneumonia , edema , or effusion . Dr . ___ ___ message with ___ in Dr . ___ office at 11 :45 on ___ per request .