Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Lungs appear hyperinflated with prominent retrosternal clear space consistent with emphysema / COPD . Pleural effusions are noted bilaterally , small , right greater than left . There is no convincing evidence for pneumonia or edema . Asymmetric scarring is noted in the right mid lung as on prior . Cardiomediastinal silhouette appears normal . Chronic left clavicle deformity noted .
    OUTPUT:
    
Emphysema / COPD with pleural effusions , small , right greater than left .