Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation . The lungs are hyperexpanded , with biapical hyperlucency , flattening of the diaphragm , and increased retrosternal clear space . Increased reticular markings are compatible with pulmonary scarring . Lower lobe bronchiectasis and atelectasis persist . There is rightward deviation of the trachea at the level of the thoracic inlet , corresponding to left thyroid cyst seen on CT . Heart size is normal . The aorta is tortuous and calcified . There are multilevel bridging osteophytes in the thoracic spine .
    OUTPUT:
    
COPD . No acute cardiopulmonary process .