Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with underlying emphysematous changes . No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is detected . Heart and mediastinal contours are stable . Surgical suture material along the right medial upper lung is seen . This study is not optimized for evaluation of the scapula ; no acute bony findings are seen . Old L1 compression fracture is noted . There has been interval compression of T4 , age indeterminate but new since prior .
    OUTPUT:
    
1 . Emphysema without radiographic evidence for acute cardiopulmonary process . 2 . Although no acute bony findings are detected on these views , if there is high clinical suspicion for scapular or rib pathology , CT is more sensitive . 3 . Age indeterminate compresion fracture of T4 , new since ___ . This updated finding was e-mailed to the ___ QA nurses on ___ after attending radiologist review . This finding was also reported to Dr . ___ , ___ ___ attending , by Dr . ___ by phone at 6 :58 p .m . on ___ after attending radiologist review .