Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Increased lucency at the lung apices is compatible with emphysematous changes . Streaky left basilar opacities are seen similar to prior and are likely chronic . There is no new consolidation . The cardiomediastinal silhouette is unchanged . Tortuous descending thoracic aorta is again seen . Cardiomediastinal silhouette is stable . No acute osseous abnormality is detected .
    OUTPUT:
    
No acute cardiopulmonary process .