Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Lungs are clear though lucent and hyperinflated which likely reflect COPD . A tiny clip projects over the right upper lung . Scarring in the right lung apex appears slightly more conspicuous . No effusion or pneumothorax . No convincing evidence for pneumonia or edema . Cardiomediastinal silhouette is normal . Chronic left ribcage deformities noted .
    OUTPUT:
    
Emphysema with subtle increased opacity at the right lung apex which may represent scarring though difficult to exclude a developing pneumonia . Please correlate clinically and follow - up to resolution advised .