Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are normal . Pulmonary vascularity is normal . Left upper lobe tiny calcified granuloma is unchanged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . There is no free air under the diaphragms . Leftward deviation of the trachea is unchanged . A left sided rib deformity is old . No acute osseous abnormalities detected .
    OUTPUT:
    
No acute cardiopulmonary abnormality .