Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple round lucencies at bilateral lung apices appear similar compared to ___ . There is no consolidation , pleural effusion , or pneumothorax . Lungs are mildly hyperinflated . Emphysematous changes of bilateral lungs are similar to prior radiograph . Cardiomediastinal and hilar silhouettes are normal size . Calcification of anterior longitudinal ligament at the thoracic spine is again noted .
    OUTPUT:
    
No notable change compared to prior radiograph from ___ . Multiple round lucencies at bilateral lung apices appear similar .