Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not engorged . Lungs are hyperinflated with attenuation of pulmonary vascular markings towards the upper lobes suggestive of underlying emphysema . Scarring is noted within the right apex . No focal consolidation , pleural effusion or pneumothorax is present . The osseous structures are diffusely demineralized . No acute osseous abnormality is detected .
    OUTPUT:
    
Emphysema . No acute cardiopulmonary process .