Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . Bilateral reticular opacities are noted , most notably in the right upper lung , unchanged from prior exams and consistent with known emphysematous changes . There is biapical pleural thickening and thickening of the pleura along the minor fissure , similar to prior exams . Trace pleural effusions are seen , minimally increased from prior exam . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Bilateral reticular opacities are noted , most notably in the right upper lung , unchanged from prior exams and consistent with known emphysematous changes