Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflated lungs with relative apical ___ is consistent with emphysema . No pleural effusion is identified . There is no confluent consolidation or pneumothorax . However , there is an 8 - mm opacity in the left mid lung on the frontal radiograph , which is suspicious for a pulmonary nodule . Cardiomediastinal and hilar contours are within normal limits .
    OUTPUT:
    
Hyperinflated emphysematous lungs with a possible left mid lung 8 - mm nodule . Recommend dedicated chest CT for further assessment . Dr . ___ communicated the above findings and recommendations to Dr . ___ at 16 :35 on ___ by telephone