Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation to suggest pneumonia . A 1 .2 x 1 .2 cm left lower lobe calcified granuloma is unchanged from ___ . No pleural effusion or pneumothorax . Heart size is top - normal . Thoracic aorta is tortuous . Atherosclerotic calcifications in the aortic arch have developed in the interim . Wedge compression deformity involving a lower thoracic vertebral body is also unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .