Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is detected . Hyperinflated lungs with underlying emphysematous changes appear similar compared to prior . Heart and mediastinal contours appear stable with calcified tortuous aorta . Lung nodules seen on prior CT are not appreciated radiographically , but CT is more sensitive for small lung nodules .
    OUTPUT:
    
No radiographic evidence for acute change .