Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable small calcified granuloma in the right lower lung . The lungs are hyper - expanded with associated flattening of the diaphragms . No focal consolidation , pneumothorax , pleural effusion , or pulmonary edema . Stable normal - appearing cardiomediastinal silhouette and hila . Calcified pleural plaques are unchanged from the prior exam . No acute rib fracture .
    OUTPUT:
    
1 . Hyper - expanded lungs , consistent with emphysema . 2 . No definite rib fracture on chest radiograph . 3 . No acute cardiopulmonary process .