Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is again mildly enlarged . Bilateral perihilar fullness and patchy upper lobe opacities appear similar to the prior CT torso scout view , allowing for differences in technique . Surgical clips project along the right lateral chest wall . There is no evidence for pleural effusion or pneumothorax .
    OUTPUT:
    
Similar chronic abnormalities with no definite superimposed acute process .