Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . The lungs are hyperinflated which likely reflect underlying COPD / emphysema . A nodular structure projecting adjacent to the right heart border and a left perihilar nodular structure may represent en face vasculature though given concern for malignancy , CT correlation is advised . \ There is no focal consolidation concerning for pneumonia . There is no effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . Multilevel degenerative disease is noted in the thoracic spine with large anterior spurs . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Right lower lung and left perihilar nodular opacities , which may represent normal vascular structures . Consider CT to further assess .