Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded consistent with underlying emphysema , as before , with no focal consolidation concerning for pneumonia , pleural effusion , pneumothorax , or pulmonary edema . A calcified granuloma in the left upper lobe is stable . The aorta is quite tortuous , but unchanged compared to the prior study . The heart size is normal .
    OUTPUT:
    
No acute cardiopulmonary process . Emphysema .