Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are within normal limits without change . Lungs are remarkable for similar appearance of biapical scarring with associated mild upper lobe volume loss . No focal areas of consolidation are present , and there are no pleural effusions or acute skeletal findings .
    OUTPUT:
    
Stable radiographic appearance of the chest . No findings to suggest pulmonary metastases , but CT would be more sensitive and may be considered if clinical suspicion is high .