Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are bilateral calcified pleural plaques which somewhat obscure evaluation of the underlying parenchyma which is grossly unchanged . Lungs are hyperinflated . Aortic core valve device is again noted . Cardiomediastinal silhouette is otherwise unremarkable . No acute osseous abnormalities .
    OUTPUT:
    
No definite acute cardiopulmonary process .