Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are obtained . The lungs are mildly hyperinflated and there is a lower position of the bilateral hemidiaphragms , which can be seen in the setting of emphysema . There is no focal consolidation , pulmonary edema or pleural effusion . Moderate degenerative changes are noted in the thoracic spine and there may be some anterior wedge deformity of a mid thoracic vertebral body . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
No acute cardiopulmonary disease . No evidence of pneumonia . Mild hyperinflation of the lungs with relative flattening of the hemidiaphragms suggestive of emphysema .