Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unchanged , with mild unfolding of the thoracic aorta . Calcified hilar lymph nodes are again compatible prior granulomatous disease . Small hiatal hernia is again noted . The lungs are hyperinflated with flattening of the diaphragms . The pulmonary vascularity is not engorged . Patchy ill - defined nodular opacification within the region of the lingula is suggestive of small airways infectious or inflammatory process . No pleural effusion or pneumothorax is identified . Granuloma within the right lower lobe is stable . Partially imaged is fusion hardware within the lumbar spine . There are no acute osseous abnormalities .
    OUTPUT:
    
Patchy ill - defined nodular opacities within the lingula is suggestive of a small airways infectious or inflammatory process such as aspiration . Evidence of prior granulomatous disease .