Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single frontal radiograph of the chest was acquired . There is persistent hyperinflation of both lungs , consistent with emphysema . Minimal bilateral lower lobe atelectasis is noted . The lungs are otherwise clear . A small left pleural effusion is increased compared to the prior study from ___ . There is no definite right pleural effusion . No pneumothorax is seen . Previously identified nodular opacities in the right upper lung on the prior study from ___ are not appreciated on today 's radiograph . The heart size is normal . Marked aortic calcifications are seen .
    OUTPUT:
    
1 . New small left pleural effusion , without evidence of pulmonary edema . 2 . No focal consolidation .