Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A longstanding left upper lobe oval nodule has been present since at least ___ and has not changed since at least ___ when a Chest CT report termed it benign . Sclerosis at the right first costochondral junction as well as post-surgical changes from a wedge resection in the right upper lobe are all stable since ___ . The cardiomediastinal silhouette and hila are normal . There is no pleural effusion and no pneumothorax . Mild pulmonary vascular congestion is chronic or recurrent .
    OUTPUT:
    
No acute cardiothoracic process including no evidence of pneumonia .