Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Hyperinflated lungs is likely secondary to underlying COPD . There is a nodular opacity in the left upper chest measuring 2 .9 x 2 .2 cm which is new since comparison study compatible with new pulmonary nodule . There is no effusion or pneumothorax . Cardiomediastinal silhouette and hilar structures are normal . hemidiaphragm is seen .
    OUTPUT:
    
Left upper lobe pulmonary nodule measuring up to 2 .9 cm is new since ___ . Nonurgent chest CT is recommended .