Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rightward shift of mediastinal structures with volume loss in the right lung is re - demonstrated . Moderate enlargement of the cardiac silhouette is again noted along with a moderate size hiatal hernia . The mediastinal contour is similar with the lobulated contour of the aortic arch compatible with known thrombosed aneurysm . Moderate circumferential pleural thickening is again demonstrated involving the right hemithorax along with a moderate size right pleural effusion , not substantially changed in the interval . Right basilar opacity likely reflects atelectasis . Left lung is grossly clear without new focal consolidation . No pneumothorax is detected . No pulmonary edema is visualized . Numerous compression deformities are seen again within the imaged thoracolumbar spine .
    OUTPUT:
    
No substantial interval change from the prior exam . Redemonstration of right pleural thickening and moderate size right pleural effusion with associated right basilar atelectasis . Unchanged lobulated contour of the aortic arch compatible with thrombosed aneurysm . Moderate hiatal hernia . No new focal consolidation .