Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Two clips are seen projecting over the right upper lung , though these appear to be external to the patient as they are not seen on the lateral view . There is severe emphysema with areas of scarring in the lower lungs as well as hyperinflation and flattened diaphragms . Evaluation for subtle nodularity is limited due to severe underlying chronic lung disease . Allowing for this , no large consolidation is seen . The heart and mediastinal contour appears stable . No definite bony abnormalities are seen .
    OUTPUT:
    
Chronic changes compatible with emphysema without definite traumatic injury seen .