Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Consolidation in the left lower lobe is concerning for pneumonia . Emphysema is severe . No large effusion or pneumothorax . Cardiomediastinal silhouette is unchanged . No acute bony abnormalities . Cerclage wires project over the mid neck .
    OUTPUT:
    
Left lower lobe pneumonia . Emphysema .