Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated consistent with history of COPD . There is persistent tenting of the right diaphragm and right upper lung scarring / fibrotic changes . Heterogeneous right mid lung opacities are again seen . Subtle 0 .7 cm nodular opacity projecting at the level of the posterior left eighth rib is not well assessed on this study but could represent a pulmonary nodule . Recommend nonemergent chest CT for further assessment . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
0 .7 cm nodular opacity projecting at the level of the left posterior eighth rib , not well assessed on this study , but could represent a pulmonary nodule . COPD . Heterogeneous right mid lung opacities in this patient with history of bronchiolitis and ___ .