Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . There is a prominent epicardial fat pad . The chest is hyperinflated . Irregular lung architecture suggests obstructive pulmonary disease . There is no definite pleural effusion . Minimal anterior wedging of a mid thoracic vertebral body is likely chronic . The bones appear demineralized .
    OUTPUT:
    
Findings suggesting obstructive pulmonary disease ; however , no definite acute cardiopulmonary process .