Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . The lungs are mildly hyperinflated with flattening of the bilateral hemidiaphragms , similar to the prior examination . Note is made of multiple small calcified granulomas , unchanged in size or appearance from the prior examination . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .