Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is not enlarged . Aorta is calcified and unfolded . Right paratracheal soft tissues likely represent vascular structures in someone of this age . The lungs are hyperinflated , suggesting background COPD . No CHF , consolidation , pleural effusion or pneumothorax detected . No subdiaphragmatic free air detected . Linear densities projecting over lower right chest likely represent surgical clips . Multilevel degenerative changes are noted throughout the thoracic spine . Mild anterior wedging of several mid thoracic vertebral bodies is noted , but does not appear acute .
    OUTPUT:
    
No acute pulmonary process identified .