Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is borderline enlarged with a left ventricular predominance . The aorta is unfolded . Mediastinal and hilar contours are unchanged . Calcified nodule in the left mid lung field is similar , compatible with a granuloma . Lungs are clear without focal consolidation . Pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen . There are multilevel moderate degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .