Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyper inflated . No focal consolidation is identified . Slightly increased markings are noted as before . There remains biapical pleural thickening , unchanged . There is no pleural effusion . The mediastinum is normal . The heart size is normal . The osseous structures are normal for age .
    OUTPUT:
    
No interval change . No acute disease .