Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , with biapical hyperlucency , flattening of the hemidiaphragms , widened anteroposterior diameter , and increased retrosternal clear space . There is no focal consolidation . Surgical clips are noted in the right infrahilar region and costophrenic angle . Cardiomediastinal and hilar contours are normal . There are no pleural effusions or pneumothorax . Old healed fracture of the right posterior fifth rib .
    OUTPUT:
    
Emphysema . No acute cardiopulmonary process .