Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . A large right pleural effusion is unchanged since ___ . A left basilar plaque - like opacity is compatible with a pleural calcification , better visualized on the CTA chest from ___ . Bibasilar linear opacities are again seen , reflecting atalectasis . Small underlying effusion can not be excluded . There is no pneumothorax . A large hiatal hernia is again seen . There are old right rib fractures .
    OUTPUT:
    
Unchanged large right pleural effusion and left pleural calcified plaques . Large hiatal hernia . The examination is unchanged since ___ . Adjacent atelectasis .