Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The overall appearance of the chest is is similar compared to the prior study , with multifocal bronchiectasis and architectural distortion in the left upper lobe and left midlung scarring . Mild peribronchial cuffing is unchanged . No pleural effusion or pneumothorax is noted . The heart size is stable . Punctate radiodensities overlying the left apex are unchanged .
    OUTPUT:
    
Overall similar appearance of the chest compared to the prior study from ___ .