Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . Mediastinal and hilar contours are unremarkable . Calcified mediastinal and hilar lymph nodes indicate prior granulomatous disease . Lungs are hyperinflated with flattening of the diaphragms suggestive of underlying COPD . No focal consolidation , pleural effusion or pneumothorax is seen . The pulmonary vasculature is normal . There are mild degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Evidence of prior granulomatous disease . Probable COPD .