Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . Pericardial calcifications as well as calcified bilateral pleural plaques are unchanged . The aorta remains tortuous . Pulmonary vascularity is not engorged . Calcified apical granulomas in the right lung apex are stable . No new areas of focal consolidation are present . There is no pleural effusion or pneumothorax . No acute osseous abnormalities are seen .
    OUTPUT:
    
No significant interval change from prior with no new areas of focal consolidation to suggest pneumonia .