Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are hyperinflated , suggesting chronic obstructive pulmonary disease . The patient is rotated to the left . There is thoracolumbar scoliosis . Bibasilar atelectasis is seen . There is nodularity along the lateral right lung base , best seen on the frontal view , unclear whether this could relate to nipple shadow . Recommend repeat with nipple markers and if finding does not correlate to nipple , would recommend nonurgent chest CT to assess for underlying pulmonary lesion . The cardiac and mediastinal silhouettes are unremarkable . The aorta is calcified . The bones are diffusely osteopenic , although there are old - appearing posterior rib fractures involving the multiple right - sided ribs from approximately levels of the posterior right fourth , fifth and sixth ribs with evidence of callus formation .
    OUTPUT:
    
1 . Hyperinflated lungs suggesting chronic obstructive pulmonary disease with likely bibasilar atelectasis . Ill - defined nodular opacity projecting over the lateral right lung base on the frontal view could relate to a nipple shadow , thus recommend repeat with nipple markers . If finding does not correlate with the nipple markers , then chest CT would be recommended to assess for underlying pulmonary nodule . 2 . Multiple old posterior right - sided rib fractures .