Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrate unchanged left apical opacity with small calcifications , compatible with prior granulomatous disease . Associated fibrosis and slight leftward deviation of the trachea is unchanged since the prior study . There is no evidence of pleural effusion , pneumothorax or focal consolidation concerning for pneumonia . The cardiomediastinal silhouette is stable . Scoliotic curvature of the thoracic spine is unchanged .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Calcific changes and scarring in the left apex is consistent with prior granulomatous disease and underlying fibrosis , and is unchanged since ___ .