Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two views of the chest were obtained . Changes from right posterior rib resection resulting in lateral and apical pleural thickening and volume loss in the right upper lobe are again seen , without new opacity , pleural effusion , or pneumothorax . The heart is normal in size with normal contours .
    OUTPUT:
    
No acute intrathoracic process .