Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiograph of the chest again demonstrates diffuse pleural plaque indicative of asbestos exposure , which obscures evaluation of the lung parenchyma . No pleural effusion or pneumothorax is seen . The cardiomediastinal contour is unchanged .
    OUTPUT:
    
Massive pleural plaques obscuring parenchymal evaluation . Cross sectional imaging is recommended for evaluation of lungs and if not recently performed , for evaluation of lung malignancy in this high risk patient . These findings were relayed to the TSICU resident , by Dr . ___ , at 1135 AM , ___ ___ .