Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior , there has been no significant interval change . Again seen is patchy likely calcific density projecting over the left mid lung . Elsewhere , lungs are clear . There is no effusion or edema . The cardiomediastinal silhouette is within normal limits . Sclerosis of the proximal humeri including the heads is again noted . There are also endplate depressions of multiple vertebral body endplates compatible with patient 's history of sickle cell disease .
    OUTPUT:
    
No significant interval change since exam from ___ demonstrating patchy likely calcific opacities projecting over the left mid lung which could be pleural based or parenchymal consolidation .