Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Calcifications projecting over the right mid and upper lung fields are similar compared to the previous exam , reflecting a combination of pleural calcifications and chest wall calcifications . Scarring with bronchiectasis is again noted in the right apex . No new focal consolidation , pleural effusion or pneumothorax is visualized . Multiple clips are again seen in the right axillary region as well as overlying the right hemidiaphragm . No acute osseous abnormality is identified . Remote right proximal humeral fracture is again noted .
    OUTPUT:
    
Similar scarring and bronchiectasis within the right apex and calcifications projecting over the right upper and mid lung fields . No focal consolidation .