Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . Mediastinal and hilar contours are similar with enlargement of the right hilum compatible with granulomatous adenopathy . Pulmonary vasculature is not engorged . Linear opacity in the right lower lobe is compatible with subsegmental atelectasis . Punctate calcified granulomas in the left lung base are unchanged . No focal consolidation , pleural effusion or pneumothorax is present . Rounded opacity within the medial aspect of the right lung base reflects a prominent right inferior pulmonary vein viewed on end . Moderate to severe multilevel degenerative changes are again noted in the thoracic spine . Multiple clips are again noted in the upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .