Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hypoinflated . A granuloma is again noted in the left lower lobe , but no new focal opacities are seen . The patient is status post kyphoplasty of a lower thoracic vertebra . There is mild cardiomegaly , but the cardiomediastinal and hilar contours are unremarkable otherwise . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No acute cardiopulmonary process .