Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no new lung consolidation , vascular congestion , pleural effusion , or pneumothorax . Minimal biapical pleural calcifications and thickening , left greater than right , is unchanged and consistent with old granulomatous disease . The mediastinal , hilar , and cardiac contours are normal . Osseous structures are unremarkable .
    OUTPUT:
    
1 . No acute pulmonary parenchymal process identified . Specifically , no lung consolidation , pleural effusion , or pneumothorax present . 2 . Unchanged biapical pleural thickening .