Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were provided . There is no large focal consolidation , pleural effusion or pneumothorax . Overall there is unchanged appearance of the lungs compared to the most recent prior chest x-ray . The cardiomediastinal silhouette is stably enlarged . The bones are intact . The imaged upper abdomen is unremarkable .
    OUTPUT:
    
No significant change since the prior study with no new focal consolidation .