Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extensive calcific changes are redemonstrated in the left lung apex compatible with prior granulomatous disease . There is associated retraction or deviation of the superior thoracic trachea to the left , compatible with underlying fibrosis . Less prominent changes in the right lung apex are also stable . There is no focal consolidation concerning for pneumonia . No significant pleural effusion or pneumothorax is detected . The pulmonary vasculature is not engorged . Calcification at the aortic knob is redemonstrated . The cardiomediastinal and hilar contours are unchanged and within normal limits .
    OUTPUT:
    
1 . No acute focal consolidation concerning for pneumonia . 2 . Unchanged appearance of the chest with extensive calcific changes in the left lung apex greater than the right , suggesting prior granulomatous disease and underlying fibrosis .