Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are without focal consolidation . Hyperlucency of the apices with attenuation of vessels suggest emphysema . There is no pleural effusion or pneumothorax . The heart is normal in size . Normal cardiomediastinal silhouette .
    OUTPUT:
    
No acute intrathoracic process . These findings were discussed with ___ , NP , by Dr . ___ at 15 : 10 on ___ by telephone .