Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged but unchanged . Multiple calcified mediastinal and hilar lymph nodes are again demonstrated . Superior hilar retraction with scarring in the lung apices are compatible with chronic changes from sarcoidosis . Blunting of the costophrenic angles bilaterally is compatible with small bilateral pleural effusions , as seen on the prior study . Lungs are hyperinflated . No new focal consolidation is identified . There is no pneumothorax . No pulmonary vascular congestion is identified . The right humeral head prosthesis is partially imaged . Calcified breast implants are re - demonstrated .
    OUTPUT:
    
No significant interval change from the prior exam with chronic findings compatible with sarcoidosis . Small bilateral pleural effusions . No new focal opacity .