Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are somewhat low in volume without focal consolidation , pleural effusion or pneumothorax . The heart is stably enlarged with 3 lead pacemaker / defibrillator noted . No pleural effusion or pneumothorax is seen . Bilateral lateral pleural thickening is noted , unchanged since ___ .
    OUTPUT:
    
Unchanged examination without acute intrathoracic process .