Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild biapical pleural thickening is again seen . No focal consolidation or pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . The lungs are relatively hyperinflated , with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease .
    OUTPUT:
    
No acute cardiopulmonary process .