Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA lateral chest radiographs were obtained . Lungs are hyperinflated but clear . Rounded focal opacities seen at the right lung base likely represents a nipple shadow . The cardiomediastinal silhouette , hilar contours , and pleural surfaces are normal . There is no pleural effusion or pneumothorax . Again noted is a large hiatal hernia . Note is made of mild compression deformities of two vertebral bodies at the thoracolumbar junction of indeterminate age .
    OUTPUT:
    
Hyperinflated lungs suggestive of COPD . No evidence of acute cardiopulmonary process . Mild compression deformities of two vertebral bodies at the thoracolumbar junction of indeterminate age .