Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . The lungs are clear though hyperinflated with flattened diaphragms suggestive of COPD . There is no focal consolidation , effusion , or pneumothorax . A calcific nodular opacity projects over the right upper lung stable from multiple prior radiographs dating back to ___ . No pleural effusion or pneumothorax is seen . Cardiomediastinal silhouette is unchanged . Anchors are noted in the left humeral head with degenerative changes at the left glenohumeral joint noted . An azygous fissure is incidentally noted .
    OUTPUT:
    
Changes compatible with COPD . No acute intrathoracic process .