Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Again seen are hyperinflation of the lungs with emphysematous changes most prominent in the apices . Again seen are chain sutures in the left upper lobe . Linear scarring in the left upper lobe is unchanged . Left suprahilar opacity is unchanged . No new focal consolidation . There is no pleural effusion or pneumothorax . Heart size is normal . Unchanged aortic calcifications . Partial resection of the left 5th rib is again seen . Slight interval loss of height of T5 vertbral body compression deformity compared to CT chest on ___ . Cervical spine facet arthropathy on the right .
    OUTPUT:
    
Emphysematous changes . Unchanged left suprahilar opacity . No new acute cardiopulmonary process .