Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are unchanged with calcified mediastinal and hilar lymph nodes again seen compatible with prior granulomatous disease . Lungs are clear . Pulmonary vascularity is normal . No pleural effusion , focal consolidation or pneumothorax is present . No acute osseous abnormalities seen .
    OUTPUT:
    
No acute cardiopulmonary process .