Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hypoinflated with crowding of vasculature . Again seen are bilateral calcified pleural plaques which somewhat obscure evaluation of the underlying parenchyma and are grossly unchanged . No focal opacity . Aortic valve device is again noted . Heart size , mediastinal contour , and hila are otherwise unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .