Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large left suprahilar and right apical masses are not significantly changed in size compared to ___ . As before , there is associated destruction of the right first and second ribs . The lungs are otherwise clear . No pleural effusions or pneumothorax . Mediastinal and hilar adenopathy was better seen on CT from ___ . Heart size is normal . Aortic calcifications are noted .
    OUTPUT:
    
1 . No acute cardiac or pulmonary process . 2 . No significant change in size or appearance of left suprahilar and right apical known lung masses . Unchanged associated destruction of the right first and second ribs .