Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated without focal consolidation . Subcentimeter rounded opacity projecting over the left mid lung may be due to a vessel on - end versus a calcified granuloma . No pleural effusion or pneumothorax is seen . The cardiac silhouette is top - normal to mildly enlarged . No pulmonary edema is seen .
    OUTPUT:
    
Top - normal to mildly enlarged cardiac silhouette size without pulmonary edema .