Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not engorged . Calcified pleural plaque partially obscures assessment of the left lung base . No focal consolidation , pleural effusion or pneumothorax is present . Multilevel degenerative changes are seen in the thoracic spine . Surgical anchors project over the right humeral head .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Left - sided calcified pleural plaques .