Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and aortic valve replacement . The heart size is normal . The aorta is diffusely calcified . The mediastinal and hilar contours are normal . The lungs are hyperinflated with relative lucency within the lung apices , compatible with emphysema . Previously described nodular opacities on CT are not well demonstrated on the current radiograph . No focal consolidation , pleural effusion or pneumothorax is detected . Multiple compression deformities of the thoracic spine are unchanged as well as old bilateral rib deformities .
    OUTPUT:
    
No focal consolidation to suggest pneumonia . Emphysema . Previously noted nodular opacities seen on CT not clearly visualized on the current radiograph .