Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . There is persistent blunting of the right costophrenic angle compatible with small residual pleural effusion , not significantly changed . The size of the right apical pneumothorax is also unchanged . Bilateral calcific densities projecting over lungs and the diaphragms are compatible with calcified pleural plaques . Increased density seen projecting over the right lower lung similar to prior may also represent loculated fluid . There is no new confluent consolidation . The cardiomediastinal silhouette is enlarged but stable . Atherosclerotic calcifications again noted at the aortic arch . Surgical clips project over the neck on the left . Hiatal hernia is again noted .
    OUTPUT:
    
No significant interval change . Persistent right pleural effusion at the base and likely loculated posteriorly and unchanged size of apical pneumothorax . No definite superimposed acute process .