Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are unchanged , slightly shifted to the left , cardiac size normal , coarse calcifications in the AP window . Mitral annulus is again noted . Left upper perihilar opacities are unchanged . small left pleural effusion is unchanged . There is no pneumothorax . . Sternal wires are aligned . cervical spinal hardware is noted . Multiple surgical clips project in the left upper quadrant . Left pigtail catheter is in place .
    OUTPUT:
    
Stable appearance of the chest . No new lung abnormalities , pneumothorax or increasing in the pleural effusions