Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right lung volume loss is again noted , and right perihilar and apical scarring is again seen , compatible with post treatment changes . Associated rightward mediastinal shift is noted along with severe emphysema . No focal consolidation or pneumothorax is seen . The heart is normal in size . Anterior cervical fusion hardware is noted .
    OUTPUT:
    
No acute cardiopulmonary process .