Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are hyperinflated . There is asymmetric left apical pulmonary opacity worrisome for underlying nodule . Surgical chain sutures seen in the right mid lung . There is also subtle increased opacity projecting over the right breast shadow , anteriorly on the lateral view . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormality is identified .
    OUTPUT:
    
Findings compatible with COPD . Subtle asymmetric right basilar opacity potentially in the middle lobe which could represent atelectasis or scarring however infection can not be totally excluded . Findings worrisome for left apical pulmonary nodule for which dedicated nonurgent chest CT is suggested .