Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted are bilateral calcified pleural plaques . Right basilar opacity silhouetting the hemidiaphragm is compatible with probable rounded atelectasis . There are however probable new underlying interstitial markings as well small bilateral pleural effusions . Small hiatal hernia is noted . Cardiomediastinal silhouette is enlarged but grossly unchanged . No acute osseous abnormalities .
    OUTPUT:
    
Bilateral calcified pleural plaques as on prior . Superimposed underlying parenchymal interstitial abnormalities and bilateral pleural effusions suggesting congestive failure .