Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the bilateral hemidiaphragms , compatible with COPD . There is no focal airspace opacity to suggest pneumonia . No pleural effusion or pneumothorax is detected . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . There is no free air beneath the right hemidiaphragm . The trachea is midline . No acute osseous abnormality is detected .
    OUTPUT:
    
No acute cardiopulmonary process in the setting of COPD .