Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral image of the chest demonstrate no change in the interstitial markings since prior imaging . Again seen is a chronic elevation of the right hemidiaphragm . There is no evidence of active pulmonary disease . There is no pneumothorax or pleural effusion . Cardiomediastinal silhouette is unremarkable . Visualized osseous structures are unremarkable .
    OUTPUT:
    
Normal chest radiograph with no evidence of active pulmonary disease .