Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac , mediastinal and hilar contours are unremarkable and unchanged since the most recent prior examination . Diffuse bronchiectasis and bronchial impaction as well as pulmonary nodules appear unchanged since ___ . Old left lower lateral healed rib fracture is again noted . Vertebroplasty and compression fractures of mid thoracic vertebral bodies are better delineated on the same day thoracic spine radiograph .
    OUTPUT:
    
No acute cardiopulmonary process . Unchanged appearance of lungs compared to ___ .