Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac and mediastinal contours are within normal limits . There is slight upward retraction of the hila bilaterally , unchanged . Pleural parenchymal scarring within the lung apices with calcified nodules is similar compared to the previous exam , and likely reflective of prior granulomatous disease . Lungs remain hyperinflated . No focal consolidation , pleural effusion or pneumothorax is identified . There is no pulmonary edema . Several clips are demonstrated within the left upper quadrant of the abdomen . No acute osseous abnormality is identified .
    OUTPUT:
    
Chronic changes within the lung apices compatible with prior granulomatous disease . No new areas of focal consolidation to suggest pneumonia . No pneumothorax .