Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded with flattened hemidiaphragms . There is severe upper thoracic dextroscoliosis and mid to lower thoracic levoscoliosis . There is no focal consolidation , pleural effusion , or pneumothorax . Heart size is top normal . Incidental note is made of chronic appearing right upper rib deformities .
    OUTPUT:
    
1 . Hyperinflated lungs with flattened hemidiaphragms , as can be seen in patients with COPD . 2 . No focal consolidation concerning for pneumonia .