Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is stable . Hyperexpansion and right middle lobe bronchiectasis are unchanged from prior studies . A calcified left AP window lymph node is also unchanged .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Unchanged hyperexpansion suggesting emphysema and calcified lymph nodes suggesting granulomatous disease .