Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant interval change compared to ___ , with persistent small - to - moderate bilateral pleural effusions with adjacent atelectasis . Unchanged postoperative appearance of the mediastinum with a tortuous thoracic aorta with mural atherosclerotic calcifications . Again noted is a severe compression fracture of one of the lower thoracic vertebral bodies .
    OUTPUT:
    
No significant interval change compared to ___ with persistent bilateral small - to - moderate effusions .