Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal and there is a rightward mediastinal shift , which is unchanged from the prior study . Again seen is architectural distortion and scarring of the right lung related to sarcoidosis and emphysema , unchanged in appearance . There is minimal scarring at the base of the left lung , which is also unchanged . No new focal opacity is identified . The pleural surfaces are clear without effusion or pneumothorax .
    OUTPUT:
    
1 . Chronic architectural changes of the right lung related to sarcoid and emphysema are unchanged . 2 . No evidence of acute cardiopulmonary process . These findings were communicated to Dr . ___ by telephone 5 minutes after discovery on ___ by Dr . ___ .