Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . Lungs are hyperexpanded and there is flattening of the diaphragms , suggestive of COPD . There are two 4 mm rounded densities in the left and right upper lobes bilaterally , suggestive of pulmonary nodules . There is increased density within the right apex , for which further evaluation with CT is recommended . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Asymmetric increased density in the right apex , for which further evaluation with CT is recommended . Findings discussed with ___ by ___ via telephone on ___ at 10 :20 .