Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared with the prior chest radiographs from ___ , there has been no relevant interval change . The lungs remain hyperexpanded , compatible with emphysema . There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is stable . A moderate hiatal hernia is noted with an air - fluid level . The patient is status post vertebroplasty for wedge - shaped compression deformities of multiple adjacent vertebral bodies in the lower thoracic spine . Orthopedic hardware is incompletely visualized in the right glenohumeral joint .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate emphysema .