Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior , there has been no significant interval change . There are small bilateral pleural effusions with bibasilar atelectasis . Coarse interstitial markings seen throughout the lungs suggests chronic interstitial process . Cardiac silhouette is enlarged similar to prior with mitral annular calcifications . Thoracic scoliosis is again noted as well as chronic left rib fractures .
    OUTPUT:
    
No significant interval change noting cardiomegaly with small bilateral pleural effusions and bibasilar atelectasis noting that infection can not be entirely excluded .