Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged on this AP view . The aorta is tortuous and moderately calcified . The lungs are hyperinflated consistent with emphysema . There is biapical scarring . There is no pneumothorax or focal consolidation . There may be a small left pleural effusion . No definite rib fractures are identified . Note is made of a calcified splenic artery .
    OUTPUT:
    
Hyperinflated lungs consistent with emphysema . No evidence of focal consolidation or pneumothorax . Small left pleural effusion versus pleural thickening .