Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta is mildly tortuous but unchanged . The hilar contours are normal . Pulmonary vascularity is not engorged . No focal consolidation , pleural effusion or pneumothorax is visualized . Calcified granuloma within the right upper lung field is unchanged . There are no acute osseous abnormalities . Degenerative changes within the thoracic spine are present . No free air is detected under the diaphragms .
    OUTPUT:
    
No acute cardiopulmonary process .