Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours are unchanged , with the heart size at the upper limits of normal . The pulmonary vascularity is normal . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Left apical pleural thickening is unchanged . Scattered calcified granulomas in the upper lobes are re - demonstrated . There are multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .