Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are calcified mediastinal lymph nodes likely within the aortico pulmonary window , unchanged in appearance since ___ . Stable right apical scarring with small apical granuloma is consistent with prior granulomatous disease . The lungs are otherwise clear . No pleural effusion or pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . The visualized osseous structures are notable for a minimally - displaced left lateral tenth rib fracture . No additional rib fracture .
    OUTPUT:
    
1 . Minimally displaced left lateral tenth rib fracture corresponding to site of patient 's symptoms . No pneumothorax . 2 . Evidence of prior granulomatous disease including stable calcified mediastinal lymph nodes .