Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette including moderate cardiomegaly and dense calcifications in the aortic arch are unchanged . Moderate right and small left pleural effusions and adjacent atelectasis is likely stable allowing for changes in position . No focal consolidation or sings of overt pulmonary edema . No pneumothorax .
    OUTPUT:
    
No substantial change from prior