Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . The mediastinal contour is somewhat prominent , which likely in part reflect patient 's slight leftward rotation as no mediastinal mass was seen on prior CT . The lungs are hyperinflated compatible with COPD . A calcified granuloma is again noted in the left mid lung . Calcified lymph nodes in the left hilum are better assessed on the prior CT . Heart size is top normal . No definite evidence of pneumonia or CHF . No pleural effusion or pneumothorax . The imaged osseous structures appear intact .
    OUTPUT:
    
Hyperinflated lungs without evidence of pneumonia or CHF . Slight mediastinal prominence likely reflects patient 's slight leftward rotation .