Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . A vague nodularity is noted overlying the right upper lobe on the AP view and most likely representative of costochondral calcifications at the right anterior first rib . There is mild left basilar atelectasis . Otherwise , the lungs are without a focal consolidation , effusion , or pneumothorax . Cardiac and mediastinal silhouettes are normal . No acute fractures identified . Mild degenerative changes are noted throughout the thoracic spine .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . The lungs are hyperinlated and suggestive of chronic obstructive pulmonary disease . Additionally , a vague nodularity is noted overlying the right upper lobe on the AP view and most likely representative of costochondral calcifications at the right anterior first rib . However , given the patient 's smoking history and evidence of COPD , a dedicated Chest CT is recommended in the non-emergent setting is recommended for further characterization .