Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Lungs are hyperinflated with flattened diaphragms and coarsened reticular markings compatible with emphysema / COPD . There is no focal consolidation , pleural effusion or pneumothorax . There is prominence of the pulmonary hila , right greater than left , likely reflective of pulmonary hypertension . Heart size is top normal . Bony structures appear intact with dextroscoliosis of the T - spine .
    OUTPUT:
    
Mild cardiomegaly with prominence of central pulmonary arteries , likely indicates pulmonary arterial hypertension given the underlying emphysema . Please correlate clinically . No evidence of pneumonia .