Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The cardiomediastinal and hilar contours are within normal limits and stable . The lungs are hyperinflated consistent with emphysema . There is no pulmonary vascular congestion . No focal consolidation , pleural effusion or pneumothorax is identified . Chronic fracture of the right posterior sixth rib is re - demonstrated . Right infrahilar surgical clips are re - demonstrated .
    OUTPUT:
    
Emphysema with no evidence of focal consolidation , pleural effusion or pneumothorax .