Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Little change in comparison to prior study from ___ . The lungs are clear with no focal consolidation , effusions , or pneumothorax . Hyperlucency of the apices is again noted suggestive of emphysema . Cardiomediastinal silhouette is normal . Bilateral humeral prostheses are again noted .
    OUTPUT:
    
No acute cardiopulmonary process . These findings were discussed by Dr . ___ with ___ via telephone at 3 :45 p .m . on ___ .