Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Lungs are relatively hyperinflated , suggesting chronic obstructive pulmonary disease . Projecting over the right lower lung , is a 1 .1 cm ovoid opacity which may represent a nipple shadow , which can be confirmed with repeat with nipple markers . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Prominence of the trachea right above the level of the clavicles is stable .
    OUTPUT:
    
Hyperinflated lungs may relate to COPD . 1 .1 cm ovoid opacity projecting over the right lower lung field may relate to a nipple shadow , but which should be confirmed with repeat with nipple markers .