Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal when allowances are made for prominent bilateral pericardial fat pads , shown to better detail on CT abdomen of ___ . Mediastinal and hilar contours are within normal limits and without change . Lungs are remarkable for upper lobe predominant emphysema , more severe in the right upper lobe than the left . No new focal lung abnormalities were detected , and there are no pleural effusions . Mild compression deformity in the mid thoracic spine is unchanged .
    OUTPUT:
    
Stable radiographic appearance of the chest with upper lobe predominant emphysema . No evidence of pneumonia . If symptoms persist , consider a chest CT for more complete evaluation if warranted clinically .