Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were obtained . Multiple surgical clips are noted along the right lung apex . Clip is also noted in the anterior right mid lung . Lungs are hyperinflated compatible with known severe emphysema . There is no definite sign of pneumonia or overt CHF . The heart size appears stable and the mediastinal contour is unremarkable . The bony structures are intact .
    OUTPUT:
    
Severe emphysema with no definite signs of pneumonia or CHF .