Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the prior examination dated ___ , there has been no significant interval change . Again seen are multiple bilateral pleural plaques involving much of the pleural and diaphragm . The lungs are mildly hyperinflated without focal consolidation , mass , pleural effusion , or pneumothorax . The heart size is normal . Mediastinal and hilar contours are stable .
    OUTPUT:
    
Essentially unchanged diffuse pleural plaques without evidence of significant interval growth . Stable emphysematous changes .