Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared with the prior examination dated ___ , there has been no significant interval change . Redemonstrated are spiculated pulmonary nodules within the right upper lobe and left lower lobe with associated fiducial markers , without definitive change . The patient is status post esophagectomy and a neoesophagus is noted . Blunting of the bilateral costophrenic angles may represent a small bilateral effusions , larger on the left . Chronic prominent interstitial markings within the right lower lobe are unchanged . There is no pneumothorax or overt pulmonary edema identified . Moderate cardiomegaly is stable . Multiple retrocardiac surgical clips are again seen in unchanged position .
    OUTPUT:
    
1 . No definitive evidence of acute cardiopulmonary process . 2 . Chronic , moderate cardiomegaly . 3 . Small left greater than right bilateral pleural effusions . 4 . Stable , bilateral pulmonary nodules and extensive chronic postoperative changes , as above .