Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours are normal . Pulmonary vasculature is normal . Lungs are hyperinflated with emphysematous changes again seen , most pronounced towards the apices . 2 calcified granulomas in the left upper lobe are unchanged . Scarring within the right upper lobe peripherally is similar to that seen on the prior CT . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormalities seen . Multiple left - sided clips are seen in the left neck compatible with prior hemithyroidectomy .
    OUTPUT:
    
No acute cardiopulmonary abnormality . No displaced fracture identified .