Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been little interval change in comparison to her prior study with no evidence of a focal consolidation , pleural effusion , or pneumothorax . Heart and mediastinal structures appear normal . No acute fractures are identified .
    OUTPUT:
    
No focal consolidation . If clinical suspicion for atypical infection is high , a dedicated chest CT may be obtained for further characterization .