Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The aorta is diffusely calcified . Mediastinal and hilar contours are unchanged . The lungs are hyperinflated . Pulmonary vasculature is not engorged . Scarring is again noted within the lung apices . Mildly increased interstitial opacities are noted diffusely , which may reflect chronic changes . No focal consolidation , pleural effusion or pneumothorax is present multiple clips are noted at the gastroesophageal junction . Partially seen are screws within the proximal left humerus .
    OUTPUT:
    
No substantial interval change from the prior examination without definite radiographic evidence for pneumonia .