Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms and relative lucency of the lungs consistent with pulmonary emphysema . Fiducial marker is again seen in the right upper lobe . In the right mid lung , there is a 6 mm nodular opacity which represent a pulmonary nodule versus vascular structure . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . Old left - sided rib deformities are again seen .
    OUTPUT:
    
Pulmonary emphysema . No evidence of pneumothorax . 6 mm nodular opacity in the right mid lung may be due to vascular structure although underlying pulmonary nodule is not excluded . Findings can be further assessed with non urgent chest CT .