Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to previous exam from ___ . Lungs are clear with no focal consolidation . There is prominence of the central pulmonary vasculature without evidence of frank pulmonary edema . Multiple bilateral calcified pleural plaques are again noted . Cardiomediastinal silhouette is stable . Multiple old right - sided rib fractures are again noted . Dual - lead pacing device is unchanged .
    OUTPUT:
    
No significant interval change . No findings to suggest acute pulmonary hemorrhage .