Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouettes are unchanged compared to multiple prior studies . There is a soft tissue density adjacent to the right heart border , seen on multiple prior studies and likely due to a prominent epicardial fat pad as seen on a prior CT . The bilateral hila are unremarkable . The lungs are clear . There is no evidence of pulmonary vascular congestion . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
No acute cardiopulmonary abnormality . No significant interval change when compared to the prior studies .