Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated and clear . A calcified granuloma is again seen in the right upper lobe , unchanged , as well as calcified granulomas at the left hilus . An azygos fissure is noted . The cardiomediastinal silhouette and hilar contours are normal . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .