Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable with cardiac size top normal . The lungs are hyperinflated , there is minimal biapical pleural thickening , otherwise the lungs are clear . Rounded opacity seen in the prior chest x-ray correspond to nipple shadows . . There is no pneumothorax or pleural effusion . Wedge shaped compression fractures in multiple thoracic vertebral bodies is unchanged . There mild degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormalities . COPD . Nipple markers demonstrate that the rounded nodules seen in the lower hemithoraces bilateral correspond to nipple shadows