Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Postinflammatory changes are noted in bilateral apices , likely old tuberculous disease and are unchanged from prior films . Otherwise lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unchanged .
    OUTPUT:
    
No acute cardiopulmonary process and no evidence of pneumonia .