Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The mediastinal and hilar contours are within normal limits . Pulmonary vasculature is not engorged . Moderate upper lobe predominant centrilobular emphysema is re - demonstrated with lung hyperinflation . No focal consolidation , pleural effusion or pneumothorax is seen . Previously noted right upper lobe lung lesion seen on CT is not well visualized on the current radiograph . There is no pleural effusion or pneumothorax . No acute osseous abnormality is demonstrated .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Emphysema . Known right upper lobe lesion seen on prior CT is not well visualized on the current radiograph .