Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are relatively hyperinflated and there is relative lucency projecting over the right upper lung with changes in the underlying parenchyma raising the possibility of emphysema . There is also left apical scarring . There is no focal consolidation or edema . Moderate - sized hiatal hernia is noted . No acute osseous abnormalities . Right shoulder arthroplasty changes are noted .
    OUTPUT:
    
Hiatal hernia and findings suggestive of emphysema . No acute cardiopulmonary process .