Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal opacity to suggest pneumonia is seen . No pleural effusion , pulmonary edema or pneumothorax is present . Chain suture in the right upper hemithorax with volume loss is compatible with prior wedge resection . A chronic area of scarring is present in the left upper lobe . There are known pleural - based nodularities seen better on the prior CT . The heart size is normal . There are surgical clips in the right upper quadrant from cholecystectomy . No interval spinal compression fracture is identified .
    OUTPUT:
    
Overall unchanged examination with no evidence of acute cardiothoracic abnormality .