Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unchanged . Multiple calcified pulmonary nodules as well as calcified mediastinal and right hilar lymph nodes are unchanged . Scarring within the lung apices with upward retraction of the left hilum is also stable . Findings are all compatible with prior granulomatous disease . No new focal consolidation , pleural effusion , or pneumothorax is seen . The pulmonary vascularity is not engorged . There are degenerative changes of the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Findings compatible with prior granulomatous disease .