Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top - normal . Calcified aortic arch is unchanged . The mediastinal and hilar contours are normal . Lungs are clear without pleural effusion , pneumothorax , or focal consolidation . There is a likely nipple shadow projecting over the left lower lobe . Upper lumbar compression deformity is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process , specifically no focal consolidation .