Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___ . The heart size remains normal . No configurational abnormality is seen . Thoracic aorta unremarkable . The pulmonary vasculature is not congested . Similar as on the preceding chest examination , there is somewhat irregular peripheral pulmonary vasculature coinciding with relatively low - positioned diaphragms , all consistent with some degree of COPD . A previously described local hazy small density overlying the anterior fourth rib on the right side appears unchanged . No new pulmonary abnormalities are present and the lateral and posterior pleural sinuses remain free . As before , prominent breast shadow soft tissue seen on the frontal view is compatible with some degree of gynecomastia and appears unchanged . Our record indicates that this patient has undergone several chest CTs in the past , the latest dated ___ . In this examination , multiple small pleural plaques and tiny right upper lobe densities were seen . These findings were considered to be stable in comparison with preceding chest examinations . At that time , the report from our department suggested a followup CT in about ___ years .
    OUTPUT:
    
Stable chest findings on plain chest CT examination , thus no evidence of acute pneumonia . Considering the chronic changes , the recommendation to have a followup examination stands as before .