Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Calcified right middle lobe nodule is again seen , unchanged . The lungs are otherwise clear . There is no consolidation , effusion or pulmonary vascular congestion . The cardiomediastinal silhouette is normal . No acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary process .