Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is detected . Mild scattered peribronchial opacities are seen . Lingular scarring appears similar to ___ . Dual - chamber pacemaker leads appear similarly positioned . Hardware projects over the left mid chest , slightly limiting evaluation of the underlying lung . The patient appears to be status post aortic valve replacement . Surgical clips project over the left upper quadrant . Heart size is normal . The aorta is calcified and tortuous . Diffuse bony demineralization is noted .
    OUTPUT:
    
No radiographic evidence for acute cardiopulmonary process with stable exam since at least ___ . Discussed with Dr . ___ by Dr . ___ by phone at 12 :25 a .m . on ___ at the time of initial review of the study .