Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lower lung volumes seen on the current exam secondary crowding of the bronchovascular markings . Biapical calcified granulomas , with left apical scarring are again noted . Cardiac silhouette is top - normal . Hypertrophic changes noted in the spine without acute osseous abnormalities .
    OUTPUT:
    
No definite acute cardiopulmonary process .