Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low which resulted in vascular crowding . Otherwise , the lungs are clear . There is no pleural effusion or pneumothorax . No consolidation is seen to suggest pneumonia . The cardiac silhouette is top normal , but unchanged from prior study of ___ . Again noted is bilateral apical pleural opacifications which likely represents extrapleural deposition given patient 's body habitus . Clips are again seen overlying the cervical region .
    OUTPUT:
    
No acute cardiothoracic process .