Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The aorta is mildly tortuous and demonstrates mild calcification at the aortic arch . The pulmonary vascularity is normal . A 7 - mm calcified nodule within the left lower lobe is again demonstrated compatible with a granuloma . Hyperinflation of lungs is unchanged suggestive of underlying COPD . There are no acute osseous abnormalities . Surgical anchors from prior rotator cuff repair are seen within the right humeral head , partially imaged .
    OUTPUT:
    
No acute cardiopulmonary abnormality .