Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , I doubt significant interval change . Again seen is the elevated and lobulated , ? eventrated , right hemidiaphragm . Of note , this appearance is much more pronounced than on ___ . Mild lobulation / eventration of the left hemidiaphragm is again noted , also more pronounced than on ___ . Left costophrenic sulcus is blunted . No gross effusion is identified . . Again noted is a nondilated splenic flexure deep to the lateral left hemidiaphragm . Suspect background hyperinflation / COPD . The heart is slightly enlarged , though the cardiac and mediastinal silhouettes are unchanged . There is upper zone redistribution , without evidence of CHF . There is subsegmental atelectasis / scarring at the right lung base . No focal infiltrate suggestive of pneumonia is identified . Again noted are calcified hilar lymph nodes suggestive of prior granulomatous disease . Incidental note is made of an old healed fracture the right posterior seventh rib .
    OUTPUT:
    
No significant change compared with ___ Mild cardiomegaly , without CHF . Possible small effusions . No focal infiltrate to suggest pneumonia . Calcified nodes are consistent with prior granulomatous disease . Note is made that the lobulated appearance of the right greater left hemidiaphragms is more pronounced than on ___ , though unchanged compared ___ .