Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is stable elevation of the left hemidiaphragm . Suture material is noted in the right upper lung likely related to a prior resection . The overall pattern of the lungs appears stable likely reflecting fibrosis / emphysema . No new consolidation , effusion or pneumothorax is seen . Old left rib cage deformities are again noted . Cardiomediastinal silhouette is stable .
    OUTPUT:
    
Emphysema with fibrotic changes in the lungs without superimposed pneumonia or edema .