Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unchanged with several rim calcified lesion is again noted in the region the left thyroid gland , as noted previously . Pulmonary vasculature is not engorged . Calcified granuloma in the left mid lung field is unchanged . Lungs are hyperinflated . No focal consolidation , pleural effusion or pneumothorax is present . Moderate to severe multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .