Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited by patient positioning and rotation . Cardiac silhouette size remains mildly enlarged , unchanged . Mediastinal contour is similar . There is mild pulmonary vascular congestion . Bilateral pleural thickening is more pronounced on the left and compatible with mesothelioma , better demonstrated on the most recent CT . Consolidative opacity in the left lower lobe may reflect atelectasis . No pneumothorax or new focal consolidation is present .
    OUTPUT:
    
No substantial interval change from the previous CT . Persistent bilateral pleural thickening , worse on the left , compatible with mesothelioma . Mild pulmonary vascular congestion with left lower lobe consolidative opacity potentially atelectasis , but infection is not excluded .