Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic changes suggestive of scar seen at the left lung apex . Prominent extrapleural fat versus pleural thickening seen on the right , unchanged . Elevation of the left hemidiaphragm is similar compared to prior . The cardiomediastinal silhouette is within normal limits . There is no consolidation , effusion , or edema . No acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary process .