Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . Punctate granulomas in the right upper lobe are unchanged . There is no evidence of pneumonia , pneumothorax , or pleural effusion . The cardiac , mediastinal and hilar contours are unchanged with similar aortic tortuosity .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .