Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated suggesting emphysema . Cardiomediastinal and hilar contours are grossly unremarkable . No chf , focal consolidation , pleural effusion , or pneumothorax is detected . There is vague focal opacity over the right lung base laterally . Based on the lateral view , this appears to be due to an anterior fat pad , rather than a lung contusion . Old healed left rib and left clavicular fractures are noted . Mild thoracic spine degenerative change noted . No t- spine vertebral body compression fracture or obvious acute rib fracture is detected on this lung - technique film .
    OUTPUT:
    
1 ) Hyperinflated lungs suggest emphysema . 2 ) Suspect fat pad accounting for vague opacity at right lung base -- please see comment above . If this corresponds to a site of symptoms , then follow - up radiographs to assess for any interval change would be recommended .