Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unchanged . The pulmonary vascularity is normal . The patient is status post tracheoplasty with post-surgical changes again noted in the right apex with associated pleural thickening . Remainder of the lungs are clear . No pleural effusion or pneumothorax is identified .
    OUTPUT:
    
No acute cardiopulmonary abnormality , and no significant interval change from prior .