Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . There is top - normal heart size with tiny left pleural effusion . Calcified nodular structures in the left upper lung and right mid to lower lung likely represent calcified granulomas . There is no evidence of pneumonia or CHF . Mediastinal contour stable . Bony structures intact .
    OUTPUT:
    
Top normal heart size , tiny left effusion .