Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , consistent with known emphysema . Mild chronic bibasilar interstitial opacities are again seen , unchanged from prior exam . Heart size is top normal . There is no pneumothorax or pleural effusion . Visualized osseous structures are unremarkable . Diffuse calcified atherosclerotic disease of the aorta is noted .
    OUTPUT:
    
No acute cardiopulmonary process .