Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size remains mild - to - moderately enlarged . Extensive calcified hilar and mediastinal lymph nodes are again demonstrated with upward retraction of the hila bilaterally , and biapical fibrosis . Blunting of the costophrenic angles bilaterally is compatible with small bilateral pleural effusions . No new areas of focal consolidation are present . There are calcified bilateral breast implants present , and partially imaged is a right humeral head prosthesis . There is diffuse demineralization of the osseous structures with mild compression deformity of a low thoracic vertebral body , unchanged .
    OUTPUT:
    
Little interval change from prior with findings compatible with sarcoidosis . Persistent small bilateral pleural effusions . No new areas of focal consolidation identified .