Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , with relative flattening of the bilateral hemidiaphragms , but otherwise clear . There is no pleural effusion , pulmonary edema , pneumothorax , or consolidation suspicious for pneumonia The cardiomediastinal silhouette is unremarkable . Partially visualized cervical spinal fusion hardware is noted . On the lateral view , there is a questionable ill - defined nodular density projecting over the anterior aspect of the T9 vertebral body .
    OUTPUT:
    
1 . Hyperinflation , compatible with emphysema . 2 . No evidence of pneumonia . 3 . Questionable small nodular opacity seen on the lateral view overlying the anterior T9 vertebral body , most likely due to overlapping structures . Resolution of this finding with shallow oblique radiographs from the lateral projection should be obtained , and shown to a radiologist to confirm technical adequacy .