Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated reflecting chronic pulmonary disease . The lungs are clear without focal consolidation , pleural effusion or pneumothorax . There is no pulmonary edema . The heart is normal in size , and the mediastinal contours are normal .
    OUTPUT:
    
EMPHYSEMA . NO PNEUMONIA OR PULMONARY EDEMA .