Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflated lungs , vascular deficiency , and flattened right hemidiaphragm reflect emphysema . No focal consolidation is noted . No pleural effusion or pneumothorax is seen . The cardiac , hilar and mediastinal silhouettes are unremarkable . Multiple healed left posterior rib fractures are again noted .
    OUTPUT:
    
Hyperinflated lungs , vascular deficiency , and flattened right hemidiaphragm reflect emphysema .