Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is normal . Lungs are hyperinflated . Minimal atelectasis is noted in the left base . No focal consolidation , pleural effusion or pneumothorax is present . Calcified granuloma within the periphery of the right upper lobe is unchanged . Moderate multilevel degenerative changes are again seen in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .