Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is bi-apical pleural thickening and diffuse linear opacities in both lungs that are better characterized on the CT performed on the same date . Lungs are hyperinflated with flattening of bilateral hemidiaphragms , suggesting chronic pulmonary disease such as emphysema . There is no evidence of pneumonia , pulmonary edema or pneumothorax . Cardiomediastinal silhouette is within normal limits . Other than a pectus excavatum , there are no acute osseous abnormalities .
    OUTPUT:
    
1 . Lung hyperinflation with flattening of bilateral hemidiaphragms is consistent with emphysema . 2 . Bi-apical pleural thickening and diffuse bilateral linear opacities are better characterized on CT chest performed on the same date .