Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . The lungs are hyperinflated which is likely related to underlying COPD . The right upper lobe nodule or opacity seen on prior CT is evident in the right upper lobe projecting over the right fifth posterior rib arch . Cardiomediastinal silhouette is normal . No effusion or pneumothorax . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Hyperinflated lungs , compatible with COPD . Nodular opacity projecting over the right posterior fifth rib , better assessed on prior CT .