Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Atherosclerotic calcifications are noted at the aortic knob . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is present . Scarring is seen within the lung apices . Calcified granuloma in the right lung base is present . Moderate multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Specifically , no evidence of aspiration .