Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . Mediastinal and hilar contours are similar . Pulmonary vasculature is not engorged . Scarring within the lung apices appear similar . Lungs remain hyperinflated . Blunting of the left costophrenic angle posteriorly is unchanged which may be due to chronic pleural thickening or trace left pleural effusion . No new focal consolidation , large pleural effusion or pneumothorax is identified . Diffuse demineralization of the osseous structures is re - demonstrated with loss of height of several mid thoracic vertebral bodies , unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Chronic blunting of the left costophrenic angle suggestive of chronic pleural thickening or trace left pleural effusion .