Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral pleural and diaphragmatic plaques / calcifications suggest prior asbestos exposure . Additional left - sided pleural thickening is seen . Left basilar atelectasis is seen . No pleural effusion is seen . There is no evidence of pneumothorax . The cardiac and mediastinal silhouettes are unremarkable . The aorta is calcified . What is presumed to be a VP shunt is partially imaged overlying the right hemithorax . Evidence of DISH is seen along the spine .
    OUTPUT:
    
Bilateral pleural and diaphragmatic plaques suggest prior asbestos exposure . Pleural thickening is seen along the lateral left hemithorax , underlying mesothelioma can not be excluded on this study . If there is concern for such , chest CT is more sensitive .