Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiograph demonstrates hyperexpanded lungs and flattening of diaphragms suggestive of emphysematous changes . Relative to prior examination performed ___ , there is been interval removal of a left - sided chest tube and resolution of the pleural effusion . Cardiomediastinal silhouette is normal in appearance . Scarring within the right hilar region and left upper lobe is better appreciated on CT performed ___ . Prominent bilateral interstitial markings are pronounced within the lower lobes bilaterally is similar in appearance to multiple prior radiographs . No focal consolidation convincing for pneumonia is present . There is no large pleural effusion , pneumothorax , or evidence of pulmonary edema .
    OUTPUT:
    
Emphysematous changes with stable right hilar and left upper lobe scarring . No focal consolidation convincing for pneumonia .