Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated compatible with emphysema . Biapical pleural thickening is again noted . No focal consolidation is seen . The cardiomediastinal silhouette and hilar contours are unchanged . There is no pleural effusion or pneumothorax . Patient is status post upper lumbar kyphoplasty .
    OUTPUT:
    
No acute cardiopulmonary process .