Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No acute pulmonary pathology including pneumothorax , pulmonary edema or focal consolidation is identified . Extensive apical bullous emphysematous changes are again noted . The cardiac and mediastinal contours are normal . No bony abnormalities are identified .
    OUTPUT:
    
Apical emphysematous changes , right greater than left . No acute cardiopulmonary process identified . Findings were conveyed via phone to Dr . ___ .