Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . No focal consolidations concerning for pneumonia are identified . Similar eventration of the right hemidiaphragm which is moderately elevated anteriorly is unchanged compared to the prior exam . A calcified nodule suggestive of a granuloma projecting over the right upper lobe as well as suspected group of granulomas projecting over the left mid lung are also unchanged compared to the prior exam . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
No acute intrathoracic abnormalities identified .