Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , with crowding of bronchovascular markings , but no focal consolidation . Again noted is a calcified granuloma in the left lower lobe . Heart size is at the upper limits of normal . There are no pleural effusions or pneumothorax . Kyphoplasty changes seen in a lower thoracic vertebra .
    OUTPUT:
    
No acute cardiopulmonary process .