Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant change since the prior chest radiograph . Left apical sutures from recent surgery are unchanged in position . The lungs are well expanded and clear . There is no pneumothorax , focal consolidation , pleural effusion , or pulmonary edema . The cardiomediastinal silhouette , hila , and pleural are normal .
    OUTPUT:
    
No significant change since ___ .