Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left upper lobe pulmonary nodule with fiducial marker is again seen and grossly unchanged . The lungs are clear of new consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is stable . No acute osseous abnormality is detected .
    OUTPUT:
    
Hyperinflation without acute cardiopulmonary process .