Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and again seen large peripheral cystic lesions particularly in the right lung most consistent with bullae . The cardiomediastinal and hilar contours are within normal limits . No definite focal consolidation concerning for pneumonia is identified . There is no large pleural effusion or pneumothorax .
    OUTPUT:
    
Severe emphysema with large paraseptal bulla , however no definite evidence suggestive of pneumonia .