Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms . Coarse interstitial markings seen throughout suggesting underlying emphysematous changes . There is no consolidation or large effusion . The cardiac silhouette is moderately enlarged . Atherosclerotic calcifications noted at the aortic arch . No acute osseous abnormalities identified .
    OUTPUT:
    
Hyperinflation without focal consolidation . Cardiomegaly .