Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart appears mildly enlarged even allowing for the projection . This is unchanged compared to the prior study . A left - sided PICC has been removed . Prominence of the main pulmonary arteries is similar when compared to the prior study and consistent with pulmonary arterial hypertension . No consolidation , pneumothorax or pleural effusion seen . The visualized bony structures are unremarkable in appearance , bone island noted in the right scapula .
    OUTPUT:
    
No acute cardiopulmonary process seen . No significant interval change when compared to prior study .