Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are obtained . There is a relative paucity of pulmonary vessels in the right upper lung and increased aeration at the retrosternal space , consistent with substantial pulmonary emphysema . There is no evidence of focal consolidation , significant pulmonary edema or pleural effusion . There is some right mid lung atelectasis as well as some left basilar atelectasis which is improved since the prior study . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
Findings consistent with substantial pulmonary emphysema . Improved right mid lung and left basilar atelectasis . The above findings were communicated to Dr . ___ by Dr . ___ ___ page at 10 : 40 , five minutes after the finding was discovered .