Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are severely hyperinflated with flattened hemidiaphragms , consistent with emphysema . No focal consolidation concerning for pneumonia , effusions , or pneumothorax . The aortic knob is calcified . Heart size is normal . Asymmetric thickening of the right greater than left apical margins is present .
    OUTPUT:
    
1 . Severe lung hyperinflation is consistent with emphysema . 2 . Asymmetric thickening of the right , greater than left , apical margins is present . At the very least , the patient should be evaluated for any associated symptoms , such as neuropathy or shoulder pain .