Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . There is scarring in the upper lung with underlying emphysema redemonstrated . Interstitial edema is noted . No effusions are seen . The heart is normal in size . No pneumothorax , though bilateral upper lobe lucency is notable though likely indicative of bullous emphysema . Bony structures are intact .
    OUTPUT:
    
Mild pulmonary edema with severe underlying emphysema .