Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic elevation of the left hemidiaphragm is unchanged from ___ . There is no pleural effusion , pneumothorax or focal airspace consolidation . The cardiac and mediastinal contours are unremarkable . The hilar structures are normal . A 5 mm calcified bone island of the posterior 4th rib is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process . These findings were discussed with ___ in the office of Dr . ___ by Dr . ___ at 10 : 40 on ___ via telephone at the time of discovery .