Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . Cardiomediastinal silhouette is unremarkable . There is mild dextroscoliosis of the thoracic spine but no acute skeletal abnormalities . Small granuloma is seen at the left lung base and is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process or significant change from prior radiograph .