Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal as well as the hilar contours are unremarkable . There are calcified left AP window lymph nodes compatible with prior granulomatous disease . Calcified granuloma in the left upper lung field is also noted . Lungs are otherwise clear . No pleural effusion or pneumothorax is seen . There is hyperinflation of the lungs with flattening of the diaphragms suggestive of underlying COPD . No pneumothorax or pleural effusion is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Findings compatible prior granulomatous disease .