Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant interval change compared to the prior radiograph on ___ . Again noted are extensive bilateral pleural plaques , which limits the evaluation for subtle parenchymal abnormalities . No substantial pleural effusion . No pneumothorax . Heart size is top - normal . Collapse of the right humeral head and adjacent heterotopic calcification is unchanged from the reference radiograph on ___ . A right sided Port - A - Cath is unchanged in position , terminating at the level of the cavoatrial junction .
    OUTPUT:
    
No acute cardiopulmonary process . Bilateral pleural plaques are unchanged .