Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . Bulla are noted within both lung apices . Cardiac , mediastinal and hilar contours are normal . No focal consolidation , pleural effusion or pneumothorax is seen . No acute osseous abnormalities are present .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Emphysema with bullous changes in the lung apices .