Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated with a paucity of vasculature seen in the upper lobes , suggesting emphysema . No pleural effusion . Heart is normal size . No pulmonary edema . Mediastinal and hilar contours are unremarkable . Old - appearing clavicular fractures bilaterally are noted . A tendon anchor is present in the right shoulder .
    OUTPUT:
    
No acute cardiopulmonary process .