Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflated lungs consistent with emphysema . Increased interstitial markings and prominence of the pulmonary vasculature are concerning for early heart failure . No pleural effusion or pneumothorax identified . The cardiac and mediastinal contours are stable . A lobulation of the aortic contour corresponds to a saccular aneurysm of the aortic arch that is better characterized on the prior CT chest .
    OUTPUT:
    
Prominent interstitial markings , peribronchial cuffing and cephalization concerning for early heart failure .