Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , without focal consolidation . There are no pleural effusions , pneumothorax , or pneumomediastinum . 6 - mm calcified granuloma is noted in the right mid lung . Heart is normal in size . The aorta is tortuous and calcified . No free air is noted under the diaphragm . No displaced rib fractures are identified . There are multilevel degenerative changes in the thoracic spine . Moderate degenerative changes of the imaged right acromioclavicular and glenohumeral joints .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . No displaced rib fractures . If the patient has focal pain , dedicated rib series can be ordered .