Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal . The aorta is tortuous . Calcified mediastinal and bilateral lymph nodes indicate prior granulomatous disease . Pulmonary vasculature is not engorged . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is identified .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Calcified mediastinal and hilar lymph nodes indicative of prior granulomatous disease .