Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sutures again overlie the left lung apex . The lungs are hyperinflated consistent with COPD . No focal opacities concerning for pneumonia . No pleural effusions or pneumothorax . Vertebral findings compatible with DISH are again seen . No free air . Callus formation over the right clavicle and ribs is present .
    OUTPUT:
    
No evidence of infectious process .