Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior exam obtained approximately 10 hours earlier , there is no significant change . Again noted is an elevated right hemidiaphragm with a small right pleural effusion and right basilar atelectasis . There is no new consolidation , pulmonary edema , or pneumothorax . Mild vascular congestion is stable . The cardiac size is moderately enlarged and unchanged . The thoracic aorta is tortuous with calcifications in the aortic arch . Clips are noted in the right axilla . Multilevel vertebroplasty changes are present . A stent in the abdominal aorta is unchanged in appearance .
    OUTPUT:
    
No change since the prior radiograph . Small stable right pleural effusion and right basilar atelectasis .