Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were provided . The lungs are hyperexpanded and emphysematous changes are persent . There is no focal consolidation , pleural effusion or pneumothorax . A lucency projecting over the left mid-lung with an apparent or simulated meniscus needs further evaluation . The cardiomediastinal silhouette is normal . The bones are intact .
    OUTPUT:
    
1 . Recommend oblique views , particularly ___ , to confirm lingular scarring rather than cavity or other air containing lung lesion . 2 . Emphysema . Findings # 1 was discussed with Dr . ___ by Dr . ___ at 9 :30 am .