Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No new consolidations concerning for infection are identified . The heart size is normal . There is no appreciable change in the severe bilateral apical scarring and right apical pleural thickening . As to the extent of the pericystic consolidation in the right upper lobe and the contents of the large cystic spaces in both apices there are no clear radiographic changes . Severe hilar retraction is a longstanding feature ; however , there are no changes in the contours of the central structures to suggest new adenopathy or any changes in the cardiac or vascular appearance to suggest cardiac decompensation . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No new focal consolidations concerning for pneumonia .