Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are obtained . There is hyperinflation of the lungs with coarsened interstitial markings and widened AP diameter of the chest , which is most compatible with underlying emphysema . There is no superimposed pneumonia , effusion , or pneumothorax . Areas of pleural thickening at the right lung apex noted . Cardiomediastinal silhouette is normal . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Findings suggestive of emphysema / COPD without superimposed pneumonia .