Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Bullous changes at the upper lobes , again consistent with emphysematous changes . There is bibasilar atelectasis / scarring . Patient is rotated to the right . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are grossly stable given differences in patient position . No displaced fracture is seen .
    OUTPUT:
    
Patient rotated to the right and patient 's chin overlies the medial right lung apex , partially obscuring the view . Given the above , pulmonary emphysematous changes are again seen . No definite focal consolidation . No definite displaced fracture ; however , limited evaluation of the lateral ribs , and if high concern for fracture , suggest dedicated rib series .