Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . Bilateral hilar enlargement is compatible with known lymphadenopathy , with unchanged mediastinal contour compatible known lymphadenopathy as demonstrated on the recent CT . Lungs are hyperinflated with relative lucency at the lung apices and attenuation of the pulmonary vascular markings compatible with known emphysema . No focal consolidation , pleural effusion or pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Unchanged mediastinal and hilar lymphadenopathy . Emphysema . No radiographic findings to suggest pneumonia .