Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs appear hyperinflated suggestive of chronic airways disease . The lungs are however clear with no evidence of a consolidation , effusion , or pneumothorax . Known sub 5 mm left upper lobe and right lower lobe nodules are not well evaluated on this study . The thoracic aorta appears tortuous and demonstrates mild atherosclerotic calcifications at the arch . Otherwise , cardiac and mediastinal silhouettes are normal . No acute fractures are identified and there is dextroscoliosis of the mid thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process . The lungs appear hyperinflated suggestive of chronic airways disease