Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear of consolidation . Left apical calcified granuloma is again seen . Cardiomediastinal silhouette is within normal limits . Tortuous thoracic aorta is again noted . No acute osseous abnormalities identified .
    OUTPUT:
    
Hyperinflation without acute cardiopulmonary process .