Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , with flattening of the diaphragms and increased AP diameter . The cardiac silhouette is mildly enlarged . The aorta is calcified . Mediastinal contours are unremarkable . No pleural effusion or pneumothorax is seen . Projecting over the right upper lung , there is an ill - defined , possibly spiculated opacity measuring approximately 9 mm , not clearly seen on the prior study . Recommend nonemergent chest CT to further evaluate for underlying pulmonary nodule . No focal consolidation seen elsewhere .
    OUTPUT:
    
COPD . 9 mm ill - defined , possibly spiculated opacity projecting over the right upper lung , not clearly seen on the prior study . Recommend outpatient chest CT for further evaluation for concerning pulmonary nodule .