Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged , similar to compared to the previous exam . Mediastinal and hilar contours are unchanged , with atherosclerotic calcifications again noted at the aortic knob . Calcified left hilar lymph nodes along with calcified granulomas in the left lung base are unchanged . Pulmonary vasculature is not engorged . Subsegmental atelectasis is again noted in the left lung base , and elevation of the left hemidiaphragm is chronic . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormality is detected .
    OUTPUT:
    
Chronic elevation of the left hemidiaphragm with subsegmental atelectasis in the left lung base . Evidence of prior granulomatous disease .