Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dilated ascending aorta is unchanged from ___ . Right upper lobe granuloma is unchanged in appearance of size from ___ . The lung volumes are normal . Normal size of the cardiac silhouette . Normal hilar and structures . . No pneumonia , no pulmonary edema . No pleural effusions .
    OUTPUT:
    
Since ___ , unchanged mild dilated or tortuous ascending aorta . Since ___ , unchanged right upper lobe granuloma .