Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated suggestive of emphysema . Again noted are bibasilar atelectatic changes , not significantly changed comparison prior study . The lungs are without focal consolidation , effusion or pneumothorax . No acute fractures are identified . Cardiomediastinal silhouette is stable . Mild loss of anterior lower thoracic vertebral bodies unchanged .
    OUTPUT:
    
No change in comparison prior studies with no acute cardiopulmonary process .