Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate well - expanded lungs , which are clear . There is again seen a left mid zone granuloma identified on previous imaging . There is no pneumothorax or pleural effusion . Cardiomediastinal silhouette is unremarkable . Visualized osseous structures are unremarkable .
    OUTPUT:
    
Unremarkable chest radiograph with chronic granuloma again seen .