Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms likely reflective of underlying COPD . Heart size is normal . Aorta remains tortuous . Mediastinal and hilar contours are unchanged and within normal limits otherwise . Calcified granuloma is seen in the left mid lung field . Remainder lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Scarring within the lung apices is detected . There are no acute osseous abnormalities . The pulmonary vascularity is normal .
    OUTPUT:
    
No acute cardiopulmonary process .