Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top normal . Aorta is slightly unfolded . Mediastinal and hilar contours otherwise are unremarkable . There is no pulmonary vasculature congestion . 4 mm calcified nodule in the right lower lobe is compatible with a granuloma . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormality is seen . Several left axillary clips are present and the patient is status post mastectomy on the left .
    OUTPUT:
    
No acute cardiopulmonary process .