Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflation suggests COPD . There is minimal atelectasis at the lung bases . The descending aorta is tortuous . There is no focal consolidation , pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette is within normal limits . Multiple right - sided rib deformities suggest remote prior fractures .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary process . 2 . COPD .