Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overall , no significant change from the prior exam . Tiny bilateral pleural effusions are overall unchanged . No focal consolidation . No pneumothorax . Moderate cardiomegaly is unchanged . Median sternotomy wires appear intact . Left - sided cardiac pacemaker also appears intact with leads in the right atrium , right ventricle , and region of Coronary sinus . Right IJ access dialysis catheter also appears intact and unchanged with tip terminating in the right atrium . Stable extensive calcification of the visualized thoracic aorta . Diffuse osteopenia . No acute osseous abnormality .
    OUTPUT:
    
No significant interval change .