Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is hyperinflation of the lungs with irregularity of the peripheral pulmonary vasculature in keeping with emphysema . There are no new focal consolidations concerning for pneumonia . There are no pleural effusions or pneumothorax . The cardiomediastinal and hilar contours are unremarkable . Pulmonary vascularity is not increased . There are multilevel degenerative changes of the thoracolumbar spine as manifested by marginal osteophytic formation and loss of intervertebral disc height .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Findings in keeping with emphysema .