Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Dual lead pacer is unchanged with leads extending to the region the right atrium and right ventricle . The heart remains mildly enlarged . There is prominence of the right pulmonary hilum which appears new from the prior exam and may in part reflect patient 's position . Upper lung lucency suggest emphysema . No focal consolidation , large effusion or pneumothorax is seen . No signs of edema or congestion . Bony structures are intact .
    OUTPUT:
    
Findings suggestive of emphysema . Prominence of the right pulmonary hilum which may be further assessed on a nonemergent chest CT exam . Stable cardiomegaly . Otherwise remarkable .