Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided volume loss and chronic pleural thickening and / or effusion accompanied by a multifocal parenchymal scarring and bronchiectasis is similar to the prior radiograph . Multiple bilateral calcified granulomas also appear unchanged as well as a focal area of scarring in the left upper lobe . Cardiomediastinal contours are stable .
    OUTPUT:
    
Stable radiographic appearance of the chest . If there is high clinical suspicion for progression of abnormalities , CT would be more sensitive than radiographs and may be considered for more complete assessment if warranted clinically .