Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic changes in the right upper lobe with including scarring and a nodular opacity are unchanged from prior studies . The lungs are hyperexpanded . There is no focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal .
    OUTPUT:
    
No acute cardiopulmonary process . Stable right apical nodular opacity and findings compatible with COPD .