Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated suggesting possible underlying COPD . Heart size is normal , aorta is tortuous and calcified , and note is made of enlargement of the central pulmonary arteries raising the possibility of pulmonary arterial hypertension . No concerning focal or diffuse pulmonary opacities are identified . Minimal linear areas of scarring or atelectasis are present in the right perihilar and left basilar regions .
    OUTPUT:
    
Findings suggestive of COPD with possible associated pulmonary arterial hypertension . Consider dedicated PA and lateral chest radiographs for more complete evaluation when the patient 's condition allows .