Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic pulmonary vessel cephalisation is seen without any sign of pulmonary edema . Calcified pleural plaques are from prior asbestos exposure . Moderate cardiomegaly with left - sided atrioventricular pacemaker is unchanged . Right lateral costodiaphragmatic angle pleura is chronically thickened . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
There is no significant change since ___ . There is no sign of acute pulmonary edema .