Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains mildly enlarged , unchanged . Mediastinal contours are similar with atherosclerotic calcifications noted at the aortic arch . Pulmonary vasculature is normal . Calcified pleural plaques within the left hemi thorax are re - demonstrated as are multiple left axillary clips . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Left - sided calcified pleural plaques , unchanged .