Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart is upper limits of normal in size , stable compared to prior studies . Aorta is tortuous . Pulmonary vascularity is normal . Bilateral pleural thickening and plaques are present , in keeping with history of previous asbestos exposure . Additionally , a linearly oriented opacity is present in the lingula , previously attributed to an area of round atelectasis on prior CT chest of ___ . Multifocal areas of linear scarring and / or atelectasis are also present predominantly in the mid and lower lungs . No superimposed areas of consolidation are identified to suggest an acute pneumonia .
    OUTPUT:
    
Asbestos - related pleural disease with adjacent foci of parenchymal scarring and / or atelectasis . No evidence of acute pneumonia , but a subtle pneumonia may be difficult to detect in the setting of chronic pleural and parenchymal disease .