Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Combination of emphysematous changes and scarring is seen in bilateral lungs . No focal opacities concerning for an infectious process at this time . Blunting of the costophrenic angle is likely small bilateral pleural effusions , present in ___ as well . Vertebroplasty changes are noted within the thoracic spine . Known wedge fractures are better evaluated on T - spine of the same day . Cardiomediastinal silhouette and hilar contours are unchanged .
    OUTPUT:
    
No consolidation or pneumothorax .