Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the right , which limits evaluation of the mediastinum . The cardiac silhouette is normal in size . The aorta is slightly unfolded . The mediastinal and hilar contours are within normal limits and unchanged allowing for positional differences from the prior study of ___ . Hyperinflation of the lungs is again seen with emphysematous changes at the bilateral lung apices and left apical calcified granuloma , stable in appearance . The pulmonary vasculature is not engorged . The lungs are otherwise clear without focal consolidation , pleural effusion , or pneumothorax .
    OUTPUT:
    
No radiographic evidence for pneumonia .