Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged right upper lobe calcified granuloma . Atelectatic changes are seen in the right upper lobe , unchanged since ___ . The cardiomediastinal silhouette and hila are normal . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No acute cardiothoracic process . CT is recommended for chronic upper lobe atelectatic changes to rule out underlying neoplasm .