Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle . Again , there is right - sided pleural thickening similar in appearance as compared to the prior study . There is also bibasilar atelectasis . No new focal consolidation is seen . There is no new large pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are relatively stable and there is a calcified and tortuous aorta . Right perihilar bronchial wall thickening and scarring is stable since at least ___ .
    OUTPUT:
    
No significant interval change .