Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post left diaphragmatic hernia repair with elevation of the left hemidiaphragm and shift of the cardiac silhouette to the right , similar in appearance as compared to the prior study . The right lung is hyperinflated and there is chronic blunting of the right costophrenic angle . Chain sutures in the lungs bilaterally are compatible with prior wedge resections . Panlobular and centrilobular emphysema are again seen with chronic interstitial nodular abnormality , most pronounced in the upper lobes , similar in appearance as compared to the recent prior study . The cardiac and mediastinal silhouettes are stable . Multiple old left - sided rib deformities are re - demonstrated .
    OUTPUT:
    
No significant interval change as compared to ___