Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are hyperinflated with increased AP diameter and diameter . Region of increased lucency seen in the right mid to upper lung . Overall findings are compatible with COPD . Increased density projecting at the left lung apex possibly in association with the surgical chain sutures as well as a nodular opacity at the right lung base . There is no evidence of focal consolidation nor effusion . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities active .
    OUTPUT:
    
Findings suggestive of COPD . Nodular opacity at the right lung base and scarring at the left lung apex . Dedicated nonurgent chest CT is suggested to exclude underlying mass lesion . Alternatively , correlation with older films should they become available can be performed . No evidence of acute cardiopulmonary process .