Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size remains mild to moderately enlarged . The aorta is tortuous and diffusely calcified . Calcified mediastinal and hilar lymph nodes are compatible prior granulomatous disease . Enlargement of the pulmonary artery is compatible with underlying pulmonary arterial hypertension , unchanged . The lungs are hyperinflated with lucencies in the lung apices compatible with emphysema . Again demonstrated within the right upper lung field are linear opacities compatible with scarring . Streaky linear opacities at lung bases are relatively unchanged , and also likely reflect scarring . No focal consolidation to suggest pneumonia is present . The pulmonary vascularity is not engorged . There is no pleural effusion or pneumothorax . Biapical pleural scarring is again noted . There are no acute osseous abnormalities .
    OUTPUT:
    
No significant interval change from the prior study . No acute cardiopulmonary abnormality . Emphysema with chronic scarring in the lung bases and right upper lobe . Evidence of prior granulomatous disease .