Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear unchanged reflecting mediastinal and hilar masses without clear change . Pulmonary nodules appears similar . Medial right suprahilar density with volume loss appears unchanged . There is no substantial pleural effusion . Surgical clips are widespread in the upper abdomen . Multiple vertebroplasties have been performed .
    OUTPUT:
    
Similar appearance of the chest with no definite superimposed findings .