Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , or pneumothorax is detected . Calcified granuloma is again noted projecting over the left lower lobe . Heart size remains top - normal , and the aorta is tortuous . Wedge compression deformity of a lower thoracic vertebral body is also unchanged .
    OUTPUT:
    
No evidence of pneumonia .