Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . The aorta is heavily calcified . Otherwise , the mediastinal and hilar contours appear within normal limits . A small calcified granuloma projects over the right upper lobe . There is slight blunting in the left costophrenic sulcus suggesting minor atelectasis with a possible trace left - sided pleural effusion . There is no pneumothorax . The bones appear demineralized . A mild upper thoracic compression deformity appears unchanged .
    OUTPUT:
    
Blunting of the left costophrenic sulcus suggesting atelectasis and possible trace effusion , but otherwise no findings suggestive of acute disease .