Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Again , there is chronic bronchiectasis . There is no opacity , pulmonary edema , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is normal .
    OUTPUT:
    
Evidence of COPD and chronic bronchiectasis . No acute cardiopulmonary process .