Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is not enlarged . Increased lung volumes , flattening of the hemidiaphragms and coarsened bronchovascular markings in keeping with history of COPD . Nodular opacity in the right upper lobe . No pneumonia . No pulmonary edema .
    OUTPUT:
    
No pneumonia . Indeterminate nodular density projecting over the right upper lobe : CT chest advised . COPD .