Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , there has been no significant change . Pulmonary vascular congestion is chronic . Moderate cardiomegaly is stable . There are asbestos - related calcified pleural plaques . A small right pleural effusion is unchanged . There is no pneumothorax . There are no new focal consolidations . Tip of right internal jugular line is at the level of the superior cavoatrial junction .
    OUTPUT:
    
Unchanged examination , no new focal consolidations .