Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . No pulmonary edema is seen . There is a partially imaged hardware in the cervicothoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .