Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrate flattening of the hemidiaphragms and the parenchymal pattern consistent with severe COPD . No focal consolidation concerning for pneumonia is present . There is no pleural effusion , pulmonary edema or pneumothorax . The cardiomediastinal silhouette demonstrates prominence of the right upper mediastinal contour , which should be further evaluated with shallow oblique images . Partial resection of the posterior right fifth rib is also stable . Bilateral nipple shadows should not be confused for pulmonary nodules .
    OUTPUT:
    
No evidence of pneumonia . Prominence of the right upper mediastinal contour should be further evaluated with shallow oblique images .