Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is normal . The lungs are hyperinflated with mild emphysema again noted within the lung apices . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . Remote left - sided rib fractures are again seen . Mild degenerative changes are present within the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .