Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . The lungs are hyperinflated and there are numerous paraseptal cystic lesions particularly in the right lung , most consistent with bullae . There is no focal consolidation , pleural effusion , or pneumothorax . The heart size is normal .
    OUTPUT:
    
Severe emphysema with probable large paraseptal bulla .