Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . Again noted are bilateral calcified pleural plaques , consistent with prior asbestos exposure . There is new mild pulmonary vascular congestion and ill - defined haziness over the left lower lung zone however no focal consolidation is identified . No pleural effusion or pneumothorax identified . The size of the cardiac silhouette is within normal limits . Calcification of the aortic arch is visualized . Remote appearing bilateral rib fractures .
    OUTPUT:
    
Extensive bilateral calcified pleural plaques . Mild pulmonary vascular congestion . No pneumothorax identified .