Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left apical granulomas appear unchanged since at least ___ . No focal consolidation , pleural effusion , or pneumothorax is seen . Mild emphysematous changes are seen . Elevation of the left hemidiaphragm appears unchanged since ___ . Heart size is top normal . The aorta is calcified and tortuous .
    OUTPUT:
    
No radiographic evidence for acute cardiopulmonary process .