2nd year for CT lung cancer screening - curious about the different note below

The thyroid gland is mildly heterogenous. Calcified
subcarinal and right hilar lymph nodes are noted, in keeping with remote
granulomatous disease. Aorta and central pulmonary arteries are normal
in caliber. Cardiac chambers are normal in size. No pericardial
effusion is noted. A cyst is noted in the upper pole of the right
kidney, which is partially imaged. Granulomas are noted in the left
hepatic lobe and spleen. Mild nonspecific thickening of the left adrenal
gland is noted.