Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated suggesting a chronic obstructive pulmonary disease . There is no evidence of a focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Extensive costal cartilage calcifications are noted . No acute fractures are identified . Pectus excavatum deformity is noted .
    OUTPUT:
    
Hyperinflated lungs suggestive of chronic obstructive pulmonary disease . No acute cardiopulmonary process .