Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a suggestion of left atrial enlargement without significant cardiomegaly . Thoracic aorta is tortuous . Lungs are clear without evidence of overt pulmonary edema . Right lower lobe calcified granuloma and bilateral calcified hilar lymph nodes suggest prior granulomatous disease . Small left pleural effusion . There are multiple age - indeterminate vertebral compression deformities .
    OUTPUT:
    
Likely left atrial enlargement . No overt pulmonary edema . Small left pleural effusion . Multiple age - indeterminate vertebral compression fractures .