Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are no significant changes since the prior study . Lungs are well expanded and clear with no masses or lesions . There is no pleural effusion or pneumothorax . Cardiomediastinal silhouette is stable and within normal limits . Surgical clips are again seen in the left breast , unchanged . There is no pneumothorax , and the pleural surfaces are unremarkable .
    OUTPUT:
    
No evidence of malignancy or infection . No evidence of bronchiectasis .