Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is unchanged . The aorta demonstrates diffuse calcifications . Mediastinal and hilar contours are within normal limits . The pulmonary vascularity is not engorged . Calcified pulmonary nodules in both lungs are unchanged , reflective of granulomas . No focal consolidation , pleural effusion or pneumothorax is present . The lungs are hyperinflated with flattening of the diaphragms suggestive of underlying COPD . Old right - sided rib fractures are re - demonstrated .
    OUTPUT:
    
No acute cardiopulmonary abnormality .