Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated which slightly limits assessment . Allowing for this , the heart size is grossly normal . Mediastinal and hilar contours are grossly unremarkable . No focal consolidation , pleural effusion or pneumothorax is seen . The pulmonary vasculature is normal . Lungs are hyperinflated with flattening of the diaphragms compatible with COPD . Mild compression deformity of a low thoracic vertebral body is unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality . COPD .