Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is borderline enlarged . The aorta remains tortuous with marked calcifications of the aortic knob . There is no pulmonary vascular congestion . Bilateral calcified pleural plaques are re - demonstrated , with evidence of honeycombing , bronchiectasis and fibrosis within the lung bases , similar compared to the prior exam . No new focal consolidation , pleural effusion or pneumothorax is visualized . There are no acute osseous abnormalities .
    OUTPUT:
    
Chronic fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis , similar compared to the prior exam . No new areas of focal consolidation identified .