Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Emphysematous changes are seen with biapical predominance . Calcified nodules project over the right lung suggestive of granulomas . The lungs are otherwise clear without consolidation or effusion . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities identified .
    OUTPUT:
    
Extensive emphysema . Right lung calcified granulomas .