Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is upper limits of normal in size with left ventricular configuration , in the aorta is tortuous . Lungs are remarkable for a cluster calcified granulomas in the left lower lung and focal linear atelectasis versus scar the right base . No pleural effusion or pneumothorax is seen . There are no acute , displaced rib fractures evident on this chest radiograph . Note is made of scoliosis and multilevel degenerative change in the spine .
    OUTPUT:
    
No evidence of pleural effusion , pneumothorax , or acute , displaced left rib fracture . If symptoms are localized , consider dedicated rib radiographs .