Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . There is no focal consolidation , pleural effusion , or pneumothorax . A small 3 - mm calcified granuloma is noted in the left lower lobe , unchanged from the prior exam . The cardiomediastinal silhouette is normal . The bones are intact .
    OUTPUT:
    
No acute process . 3 - mm calcified granuloma in the left lower lobe .