Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Emphysematous changes are most notable at the bilateral apices . There is biapical scarring . Note is made of asymmetrical elevation of the left hemidiaphragm , which is new from ___ . The cardiac silhouette is top - normal in size . No evidence of pneumonia . No acute displaced rib fractures identified .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Asymmetrical elevation of the left hemidiaphragm is new from ___ .