Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable mild cardiomegaly accompanied by tortuosity of the thoracic aorta . Extensive right - sided pleural calcifications with associated volume loss appear similar to the prior study , as well as associated parenchymal scarring . In both upper lobes , there are scattered calcified granulomas . No new lung or pleural abnormalities are identified . Healed left rib fractures are present as well as diffuse osseous demineralization .
    OUTPUT:
    
Stable radiographic appearance of the chest , with calcified fibrothorax on the right , and evidence of previous granulomatous infection within both lung apices .