Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate mild cardiomegaly and hyperinflated lungs with severe emphysematous changes again noted . No focal consolidation , pleural effusion , or pneumothorax . Left apical radiation fibrosis is unchanged . There is no appreciable pulmonary edema . Surgical clips are noted projecting over the left mid upper lung and axilla , as before , with evidence of prior left mastectomy .
    OUTPUT:
    
No acute cardiopulmonary process . No pulmonary edema . Severe emphysema and unchanged radiation fibrosis in the left lung apex .