Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views the chest were provided . Lungs are hyperinflated which could reflect underlying emphysema . There is biapical pleural parenchymal scarring . There is a severe levoscoliosis of the lumbar spine again noted . Nipple shadows project over the lower lungs . There is a calcified granuloma again seen projecting over the right upper lung . New from prior , is a band like opacity in the left perihilar region with a central lucent ovoid focus . Findings are indeterminate , possibly representing scarring though given that this is a new finding , a nonemergent CT is recommended to further assess . The heart size is normal . Tiny Coronary stents project over the left heart border . The aorta is moderately calcified . No pleural effusion or pneumothorax . Bony structures appear grossly intact .
    OUTPUT:
    
New band like perihilar opacity in the left mid lung , indeterminate , for which nonemergent CT chest is recommended to further assess .