Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are normal . The lungs are hyperinflated with a right apical bulla indicative of emphysema . Lungs are clear . No pleural effusion or pneumothorax is seen . The pulmonary vasculature is normal . There are no acute osseous abnormalities . Irregular osseous density inferior to the left scapula may be the sequela of prior trauma .
    OUTPUT:
    
No acute cardiopulmonary process .