Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with consistent with emphysema . Biapical pleural thickening and biapical scarring larger in the right apex is unchanged . There is no pneumothorax or pleural effusion . There are mild degenerative changes in the thoracic spine . There is mild right scoliosis . The left hilum of appears enlarge grossly unchanged from prior study
    OUTPUT:
    
Emphysema . Enlarged left hilum CT is recommended Grossly stable biapical pleural thickening and apical scarring