Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prominent levoconvex scoliosis and absence of multiple left posterior upper ribs distort the thoracic cage but are stable since at least ___ . The lungs are hyper - expanded , and the right diaphragm is flattened , consistent with chronic lung disease . No focal consolidation to suggest pneumonia . No pleural effusion , pulmonary edema , or pneumothorax . Stable moderate cardiomegaly . Stable appearance of the hila and mediastinum . Diffuse bony demineralization , unchanged since at least ___ .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Probable chronic lung disease such as emphysema .