Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattened diaphragm , suggestive of COPD . There is asymmetric apical thickening on the right . Heart size is within normal limits . Mediastinal and hilar contours are unremarkable . There is no evidence for pulmonary edema , pulmonary consolidation or pleural effusion . Metallic ring is partially visualized at the bottom of the image .
    OUTPUT:
    
1 . Apical thickening on the right in the setting of tobacco use . Further evaluation with chest CT is recommended . 2 . No pneumonia .