Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflated lungs with reduced lung markings at the apices consistent with emphysema . No pleural effusion or pneumothorax is seen . The heart is not enlarged . The ascending aorta is dilated or tortuous , unchanged compared to prior study .
    OUTPUT:
    
No evidence of pneumonia . Hyperinflation and reduced apical lung markings consistent with emphysema .