Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the heart size is again noted . The aorta is tortuous . Pulmonary vasculature is normal . Lungs remain hyperinflated suggestive of COPD . No pleural effusion , focal consolidation or pneumothorax is present . No displaced fractures are present . The osseous structures are diffusely demineralized .
    OUTPUT:
    
No acute cardiopulmonary abnormality . COPD . No displaced fractures are identified . Please note that if there is continued concern for a rib fracture , a dedicated rib series is recommended .