Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A coarsely calcified left lower lobe granuloma is again noted . The lungs are otherwise clear . There is no pneumothorax . The heart and mediastinum are within normal limits . Metallic surgical clips presumably from prior cholecystectomy project over the right upper quadrant .
    OUTPUT:
    
No acute pulmonary disease .