Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with most recent prior radiograph there has been no significant change . The lungs remain hyperinflated with lucency at the lung bases consistent with emphysematous changes and bulla seen on prior CT . No pleural effusion or pneumothorax is seen . Heart size , mediastinal contours and hilar contours are stable .
    OUTPUT:
    
No pneumonia . Again note that subcentimeter pulmonary nodule seen on prior CT from ___ are better seen and evaluated on that study and followup recommendations per that study remain . Telephone notification with message left for Dr . ___ by Dr . ___ at 4 :35 p .m . on ___ per request .