Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to previous x-ray from ___ and CTA chest from ___ . Large right - sided pleural effusion is unchanged . Large hiatal hernia is better characterized on the current exam due to air within the stomach . Left - sided pleural calcification is again noted . Superiorly , the lungs remain clear without focal consolidation . Cardiomediastinal silhouette is difficult to assess but grossly unchanged . Multiple old bilateral rib fractures are again noted .
    OUTPUT:
    
No significant interval change in large right pleural effusion and left calcified pleural plaques . No definite acute cardiopulmonary process .