Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Lungs are hyperinflated with severe emphysema noted . No focal consolidation concerning for pneumonia . No large effusion or pneumothorax . Cardiomediastinal silhouette appears grossly within normal limits . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Hyperinflated lungs with severe emphysema . No convincing evidence for pneumonia . Please note , evaluation is limited for small pulmonary nodules and given background severe emphysema , consider nonemergent chest CT to further evaluate .