Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs demonstrate emphysematous changes , with hyperinflation and flattening of the diaphragms . There is no focal consolidation . There is borderline cardiomegaly with no vascular congestion , edema or pleural effusion . No pneumothorax is seen . There is a pectus deformity of the sternum . The thoracic aorta is normal in caliber but contains atherosclerotic calcifications .
    OUTPUT:
    
1 . Probably no pneumonia . If this contradicts clinical evaluation , could obtain oblique views for further evaluation . 2 . Baseline emphysematous changes .