Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , no significant change . There is no new focal consolidation , pleural effusion , or pneumothorax . The aorta is tortuous , and the cardiomediastinal silhouette is within normal limits . Multiple surgical clips again noted in the neck , likely from prior thyroidectomy .
    OUTPUT:
    
No new focal consolidation concerning for pneumonia or other acute intrathoracic process .