Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change . No focal consolidation is seen . There is no large pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable , with the aorta tortuous and the cardiac silhouette top normal to mildly enlarged . Hilar contours are stable . Partially imaged is surgical spinal hardware in the lower thoracic spine extending into the lumbar spine as also seen previously .
    OUTPUT:
    
No significant interval change .