Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly . The lungs are hyperinflated . No focal consolidation to suggest pneumonia . No pleural effusion or pneumothorax . Osseous structures are intact .
    OUTPUT:
    
Hyperinflated lungs compatible with COPD , and moderate cardiomegaly . No evidence of pneumonia .