Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged with left ventricular prominence . The aorta is tortuous and diffusely calcified . The hilar contours are unchanged , and the pulmonary vascular markings are not engorged . Increased interstitial opacities are re - demonstrated predominantly within the lung bases , and appear chronic . There is hyperinflation of lungs with attenuation of pulmonary vascular markings towards the apices compatible with underlying emphysema . No focal consolidation , pleural effusion or pneumothorax is clearly demonstrated . There is diffuse demineralization of the osseous structures . No definite displaced rib fractures are noted . Compression deformity of a mid thoracic vertebral body is unchanged .
    OUTPUT:
    
1 . No definitely displaced rib fractures noted . If there is continued clinical concern for rib fracture , consider a dedicated rib series . 2 . Emphysema with chronic interstitial changes at the lung bases .