Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , there has been no significant change . There is hyperinflation of the lungs with flattening of the diaphragms consistent with known diagnosis of emphysema . No new focal consolidations are identified . The cardiac silhouette is mildly enlarged . There is calcification of the aortic knob . The mediastinal and hilar contours are within normal limits . There is no pleural effusion or pneumothorax . There are prominent loops of bowel loops seen in the left upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process .