Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . There is emphysema bilaterally and large bullae in the right lung , similar to prior CT studies . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiomediastinal and hilar contours are normal . The vertebral heights are maintained . No fractures are identified . There is a likely chronic fracture of the T10 posterior rib on the right .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Emphysema with large bullae in the right lung . 3 . No fractures are identified . If there is further concern , dedicated films in the area of concern can be done .