Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were compared to previous exam from ___ . There has been no significant interval change . Again seen is biapical scarring with retraction of the hila superiorly and bilateral calcified hilar and mediastinal lymph nodes compatible with sarcoidosis . Blunting of the posterior and lateral costophrenic angles are suggestive of small pleural effusions . There is no new confluent consolidation . Cardiac silhouette is enlarged but stable . Osseous structures again notable for right shoulder arthroplasty . Partially calcified breast implants again noted . Mild compression deformities in the lower thoracic spine are stable .
    OUTPUT:
    
Chronic changes compatible with sarcoidosis . Small bilateral pleural effusions , not significantly changed . Otherwise , no significant change since prior .