Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited by patient positioning , with the patient 's chin and neck obscuring the lung apices . The heart size remains mildly enlarged with a left ventricular predominance . The aorta is tortuous and diffusely calcified . Mediastinal and hilar contours are grossly unchanged . Calcifications with architectural distortion and fibrotic changes in the right upper lobe likely reflect prior granulomatous disease and is relatively unchanged . No new focal consolidation , pleural effusion or pulmonary vascular congestion is present . Right basilar pleural calcification is unchanged compared to the prior CT of the thoracic spine . Partially imaged is fusion hardware within the lumbar spine . Compression deformity at the T8 level is unchanged with diffuse demineralization of the osseous structures .
    OUTPUT:
    
Limited exam . No substantial interval change from the prior studies .