Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and there is bilateral hemidiaphragm flattening , suggesting chronic pulmonary disease . No focal consolidations , pleural effusions or pneumothorax . No new pulmonary nodules or masses . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
1 . No radiographic evidence of intrathoracic malignancy . 2 . Hyperinflation and flattening of bilateral hemidiaphragms suggests chronic pulmonary disease .