Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph is nearly an apical lordotic projection . Hyperexpanded lungs are presumably related to emphysema . Pericardial fibrosis at the right heart border is better seen on prior CTA . There is no pleural effusion or pneumothorax . The heart size is normal .
    OUTPUT:
    
No acute cardiopulmonary process .