Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with underlying emphysematous changes . There is no focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal silhouette is notable for prominent main pulmonary artery and right pulmonary artery , likey due to pulmonary hypertension . Again seen is compression fractures of T4 and L1 , unchanged . No new fractures are identified .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Enlarged pulmonary artery silhouettes suggestive of pulmonary hypertension .