Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 13 ; ___ , I doubt significant interval change . Vascular plethora is similar to the prior film . Cardiomegaly , right base opacity opacity , and some patchy opacity at the left base are also similar to the prior film . COPD , with deformity of the left upper chest consistent with old healed rib fractures , is again noted . Left subclavian PICC line tip overlies the SVC / RA junction , similar to the prior film .
    OUTPUT:
    
No significant change compared with ___ .