Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a prominent right cardiophrenic fat pad . Cardiomediastinal and hilar contours appear stable . Heart size is normal . Emphysematous changes are noted . No overt pulmonary edema is identified . No opacity convincing for pneumonia is seen . No large pleural effusion is identified . Osseous structures demonstrates no acute abnormality .
    OUTPUT:
    
Normal heart size without pulmonary edema . Prominent right cardiophrenic fat pad noted . Emphysematous changes .