Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The previously noted left lower lobe density is most likely composite in nature . Pulmonary hyperinflation in keeping with history of COPD . No airspace consolidation . No pleural effusions . No pleural thickening . The cardiomediastinal shadow is normal . The pulmonary arteries are not enlarged . Spondylotic changes of the thoracic spine . Cholecystectomy clips noted .
    OUTPUT:
    
The previously noted density projecting over the left lower lobe is composite in nature . No pulmonary nodule was seen on previous CT done ___ .