Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . The heart size is normal , and the aorta is tortuous . There are multiple calcified lymph nodes in the left hilum , in the superior right mediastinum , and several others in the right lower and left lower lobes . There is no pneumothorax or pleural effusion . The visualized bony structures are markedly demineralized , and there are severe degenerative changes in the bilateral glenohumeral and acromioclavicular joints . No fractures are seen .
    OUTPUT:
    
1 . Multiple calcified granulomas within the lungs and calcified lymph nodes in the hila and mediastinum may be seen with prior exposure to granulomatous disease such as tuberculosis or sarcoidosis . Correlation with clinical history and / or acquisition of prior radiographs for comparison may be beneficial . 2 . No acute cardiothoracic process .