Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are mildly hyperinflated , consistent with COPD . There is a linear opacity in the right upper lung zone , which has increased in size since the prior exam . There is no new consolidation , pulmonary edema , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is normal .
    OUTPUT:
    
Linear opacity in the right upper lung zone , which has increased in size since the prior exam . Given the underlying COPD , recommend further characterization with a non-emergent CT of the chest to exclude malignancy . Results were emailed to the ED ___ nurses on ___ by Dr . ___ .