Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with relative attenuation of the pulmonary vascular markings towards the apices compatible with underlying emphysema . Heart size is normal . The mediastinal and hilar contours are unremarkable and unchanged . There is no pulmonary vascular congestion . No focal consolidation , pleural effusion or pneumothorax is visualized . There are multilevel degenerative changes in the thoracic spine with marked dextroscoliosis re - demonstrated .
    OUTPUT:
    
Emphysema . No acute cardiopulmonary abnormality otherwise detected .