Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal . The aorta is mildly tortuous . The pulmonary vasculature is normal . 6 mm nodular opacity projecting over the right mid lung field likely reflects a granuloma . Lungs are hyperinflated , with attenuation of the pulmonary vascular markings towards the apices suggestive of underlying COPD . Scarring within the lung apices is present . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary abnormality .