Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains mildly enlarged . A moderate size hiatal hernia is again noted . The mediastinal and hilar contours are otherwise similar and pulmonary vasculature is normal . Punctate calcified granulomas are again noted in the lungs bilaterally as well as calcified lymph nodes in both hila and mediastinum compatible with prior granulomatous disease . Lungs are otherwise clear . No pleural effusion , focal consolidation or pneumothorax is demonstrated . No subdiaphragmatic free air is seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Evidence of prior granulomatous disease . Moderate size hiatal hernia . No subdiaphragmatic free air .