Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Clips in the left axilla again noted . The left breast shadow is absent . Emphysema again noted with biapical pleural parenchymal scarring . No focal consolidation concerning for pneumonia . No effusion or pneumothorax . Cardiomediastinal silhouette is stable . No acute bony abnormalities . No free air below the right hemidiaphragm .
    OUTPUT:
    
Emphysema without superimposed pneumonia or edema .