Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , there is no significant change . The heart size is minimally enlarged , with tortuous aorta . Lung volumes are low . No focal consolidation , effusion , or pneumothorax . Small area of focal pleural thickening along the left lateral chest wall and left apex are unchanged .
    OUTPUT:
    
No focal consolidation or obvious paraesophageal hernia .