Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , there is no significant interval change identified . Again seen is hyperinflation , with flattened diaphragms , suggestive of COPD . Also again seen are multiple calcified pulmonary granulomas , unchanged in appearance . There is biapical pleural thickening , probably with some biapical scarring . The lungs are otherwise grossly clear . Stable mild widening of the mediastinum the thoracic inlet due to tortuous vessels and mediastinal fat deposition . No pleural effusion or pneumothorax detected . Heart size , mediastinal contour , and hila are unchanged .
    OUTPUT:
    
1 . No acute cardiopulmonary process identified . 2 . Probable background COPD , with evidence of previous granulomatous disease . No significant change detected compared with ___ .