Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated in keeping with history of emphysema . Asymmetric right apical calcified scarring is unchanged . Lingular nodular opacities were better seen on prior CT . No new focal opacities are seen . Cardiomediastinal and hilar contours unremarkable . Blunting of the costophrenic angles is secondary to flattening of the hemidiaphragms . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Hyperinflated lungs . No evidence of pneumonia . Nodular opacities not as clearly seen on this exam as on prior chest CT and followup recommenditions are per prior CT report .