Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . No prior . The lungs are hyperinflated but clear of confluent consolidation or pulmonary vascular congestion . The cardiac silhouette is enlarged . Multiple old left - sided rib fractures are identified . Osseous structures are otherwise notable for osteopenia .
    OUTPUT:
    
Hyperinflation and moderate cardiomegaly without definite acute cardiopulmonary process .