Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated with emphysematous changes re - demonstrated . Scarring in the lung apices , more so on the right , is unchanged . Pulmonary vasculature is not engorged . Heart size normal . Mediastinal and hilar contours are similar with diffuse atherosclerotic calcifications noted in the aorta . No focal consolidation , pleural effusion or pneumothorax is seen . No acute osseous abnormalities seen .
    OUTPUT:
    
1 . Emphysema with biapical opacities , likely scarring , more so on the right . Consider chest CT for further assessment as was previously suggested . 2 . No acute cardiopulmonary process .