Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs remain hyperinflated suggestive of underlying COPD . Heart size is normal . The aorta remains tortuous with scattered calcifications . Calcified left upper lobe granuloma and calcified right mediastinal lymph node suggests prior granulomatous disease . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . Persistent blunting of the right costophrenic sulcus likely reflects chronic pleural thickening or scarring . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary abnormality .