Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . The lungs are well expanded and clear . A left upper lobe granuloma and apical bilateral apical pleural thickening are unchanged . There is no new mass , consolidation , effusion or pneumothorax . Cardiac and mediastinal contours are normal . Punctate hyperdense dots projecting over the left paramedian chest correlate with sequins on the patient 's shirt . This was confirmed by direct inspection .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Stable left upper lobe granuloma and apical scarring .