Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest were acquired . A 4 - mm calcified granuloma in the right mid to upper lung is not significantly changed . There is no focal consolidation . The heart size is normal . The descending thoracic aorta is mildly tortuous , unchanged . Aortic calcifications are noted . The mediastinal contours are otherwise normal . There are no pleural effusions . No pneumothorax is seen . Multilevel degenerative changes of thoracolumbar spine are noted .
    OUTPUT:
    
No acute cardiac or pulmonary process .