Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a 6 mm granuloma in the right midlung zone , which is unchanged dating back as far as ___ . The aorta is tortuous , and the heart size is top - normal . There are chronic well healed rib fractures of posterior ribs 5 through 7 . There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary process . 2 . Top - normal heart size .