Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflated lungs and upper lobe predominant vascular deficiency suggest emphysema . There is no focal consolidation , effusion , or pneumothorax . Mildly increased heart size and mild vascular engorgement without overt pulmonary edema suggest early cardiac decompensation . Mediastinal and hilar contours are stable .
    OUTPUT:
    
1 . No evidence of pneumonia . 2 . Mildly increased heart size and mild vascular engorgement suggest early cardiac decompensation .