Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , consistent with COPD . The lungs are clear without consolidation or edema . There is no pleural effusion or pneumothorax . There is mild rightward deviation of the trachea , which could be due to a thyroid lesion . The cardiomediastinal silhouette is normal . No free air is identified below the hemidiaphragms . Contrast material is seen outlining loops of bowel in the imaged upper abdomen . Mild loss of vertebral body height is noted in the mid thoracic vertebral bodies .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Hyperinflation , suggestive of COPD . 3 . Deviated trachea , possibly due to a thyroid lesion ; if this has not already been documented , recommend further evaluation with a non-emergent thyroid ultrasound . Results were discussed with Dr . ___ ___ resident ) at 9 :45 AM on ___ via telephone by Dr . ___ .