Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are present which accentuates the size of the cardiac silhouette which is moderate to severely enlarged . The aorta is diffusely calcified and tortuous . Left - sided dialysis catheter tip terminates at the SVC / right atrial junction . There is no pulmonary vascular congestion . No focal consolidation is noted . No pleural effusion is present . Calcification of the right diaphragmatic pleura is re - demonstrated . Calcified left hilar and mediastinal lymph nodes and calcified nodule in the left mid lung field are unchanged , compatible with prior granulomatous disease . Clips are again seen in the superior mediastinum , to the left of the trachea .
    OUTPUT:
    
No acute cardiopulmonary abnormality .