Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal contours are unremarkable aside from aortic knob calcifications . Fullness of the left hilum is noted . The lungs are hyperexpanded with flattened hemidiaphragms , consistent with COPD . Increased interstitial markings reflects acute or chronic edema . There is no focal consolidation concerning for pneumonia . Infrahilar density , seen on the lateral view , may correspond to the reported right lower lobe lesion . The upper abdomen is unremarkable . Diffusely sclerotic lower thoracic vertebral bodies are noted . Compression deformity of a mid thoracic vertebral body is also noted .
    OUTPUT:
    
1 . No focal consolidation concerning for pneumonia . Interstitial prominence reflects acute or chronic edema . 2 . Infrahilar nodular opacity , should be correlated with prior imaging . Left hilar fullness concerning for lymphadenopathy . 3 . Sclerotic lower vertebral bodies are concerning for malignancy .