Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral apical pleural and parenchymal scarring with associated volume loss appears similar to the prior radiograph . Remainder of lungs is grossly clear . Heart size , mediastinal and hilar contours are normal . There are no pleural effusions . Bones are diffusely demineralized .
    OUTPUT:
    
Stable radiographic appearance of the chest , with no acute cardiopulmonary radiographic abnormality .