Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mildly enlarged . Lungs are hyperexpanded with emphysematous changes . As compared to prior chest CTA and chest radiograph from earlier today , there has been no significant change . No new areas of focal consolidation are identified . There is no large pleural effusion or pneumothorax .
    OUTPUT:
    
No significant interval change without new focal consolidation .