Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes have improved since ___ . No focal consolidation , effusion , edema , or pneumothorax . 3 mm , round opacity projecting over the right apex appears calcified , consistent with a calcified granuloma , unchanged since at least ___ . Enlarged cardiac silhouette is unchanged , corresponding to cardiomegaly on recent CT . The descending aorta is tortuous . Aortic knob calcifications are mild . Anterior compression deformity of the L1 vertebral body is overall similar in appearance to the recent CT from ___ . Multilevel degenerative changes are otherwise again seen in the thoracic spine with prominent anterior osteophytes .
    OUTPUT:
    
1 . No acute intrathoracic abnormality . 2 . Persistent moderate - to - severe cardiomegaly . 3 . Anterior compression deformity of the L1 vertebral body , unchanged from CT on ___ .