Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the chest radiograph obtained approximately ___ years prior , no significant changes are appreciated . Lungs are fully expanded and clear without consolidations , radiographically evident pulmonary nodules , or effusions . Heart size is normal . Cardiomediastinal and hilar silhouettes are normal . Pleural surfaces are normal .
    OUTPUT:
    
No radiographic evidence of intrathoracic metastasis or other significant cardiopulmonary abnormalities .