Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Lungs are hyperinflated , compatible with COPD . A vague nodular opacity projects over the right lower lung which could represent suprasternal overlying density , though a true nodule is not excluded . No signs of pneumonia or CHF . No effusion or pneumothorax . Prominent retrosternal clear space is also noted , compatible with COPD . The cardiomediastinal silhouette is normal . Bony structures are intact . No free air is seen below the right hemidiaphragm .
    OUTPUT:
    
COPD with tiny nodular opacity in the right lower lung , for which non-emergent CT of the chest is recommended for further evaluation .