Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . There has been interval removal of the left PICC line . An esophageal stent is in place . The lungs are hyperinflated , consistent with emphysema . There is emphysema with reticular opacity in the lungs without definite focal consolidation , effusion , edema , or pneumothorax . A calcified nodular opacity projecting over the left upper lung corresponds with a calcified pleural plaque seen on prior CT . The cardiomediastinal silhouette is normal . There is a prominent anterior osteophyte of the thoracic spine . No other bony abnormality is identified .
    OUTPUT:
    
Emphysema , no definite signs of pneumonia .