Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . The lungs are well - expanded and clear . A 5 mm focal density in the left upper lobe likely represents a calcified granuloma . There is no focal consolidation , pleural effusion or pneumothorax . There is mild central end plate scalloping of multiple thoracic vertebral bodies .
    OUTPUT:
    
No acute cardiopulmonary process .