Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , compatible with COPD . Suture chain is seen in the right middle lobe . There is no focal consolidation . The heart size is normal . The mediastinal contours are normal . Aortic calcifications are noted . There are no pleural effusions . No pneumothorax is seen . Multilevel degenerative changes of the thoracolumbar spine are noted .
    OUTPUT:
    
No acute cardiac or pulmonary process .