Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal . Mediastinal and hilar contours are unchanged . The pulmonary vasculature is normal . 6 mm calcified granuloma in the left lower lobe is again noted . Lungs are otherwise clear . No pleural effusion or pneumothorax is present . Evidence of prior vertebroplasty is seen at the thoracolumbar junction .
    OUTPUT:
    
No acute cardiopulmonary abnormality .