Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac , mediastinal and hilar contours are normal . Lungs are hyperinflated with emphysematous changes again noted . Atelectasis is seen in the lung bases . No large pleural effusion or pneumothorax is present . Pulmonary vasculature is not engorged . Moderate compression deformity of a mid thoracic vertebral body remains unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Emphysema .