Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are unchanged with the heart size appearing normal . The aorta remains tortuous . Again seen are calcified bilateral pleural plaques , unchanged , compatible with prior asbestos exposure . Lung volumes are somewhat decreased when compared to prior examinations . There is redemonstration of calcified apical granuloma in the right lung apex . No new focal consolidation , large pleural effusion or pneumothorax is identified .
    OUTPUT:
    
No acute cardiopulmonary process . Bilateral calcified pleural plaques , compatible with prior asbestos exposure .