Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: he lungs are hyperinflated with lower lobe predominant severe panlobular emphysema in keeping with alpha 1 antitrypsin deficiency . The cardiac and mediastinal contours are stable . Dextroscoliosis in the thoracic spine is noted .
    OUTPUT:
    
No acute cardiopulmonary process .