Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . There is no parenchymal consolidation . Since ___ , there is a stable left upper lobe opacity which may represent a parenchymal nodule . Bilateral perihilar bronchial wall thickening is indicative of chronic inflammation . Cardiomediastinal silhouette is normal . No pleural abnormality is seen .
    OUTPUT:
    
1 . Hyperinflated lungs compatible with chronic obstructive pulmonary disease , but no acute focal consolidation . 2 . Persistent left upper lobe opacity may represent a parenchymal nodule and further evaluation via non-urgent Chest CT should be considered if not already further evaluated .