Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . There is a left upper lung calcified granuloma which is unchanged in appearance since ___ . There is no focal consolidation , pleural effusion , or significant pulmonary edema . Moderate cardiomegaly is unchanged since the prior study . There are slight impressions on both sides of the cervical portion of the trachea , consistent with bilateral thyroid lobe enlargement .
    OUTPUT:
    
No acute cardiopulmonary disease . No change since the prior study .