Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Punctate nodular opacities projecting over the right lower lung are similar compared the prior study and represent vessels on end or calcified granuloma . No focal consolidation is seen . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .