Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no new lung consolidation . The lingular scarring from prior radiation therapy from breast cancer is unchanged . There is no pleural effusion or pneumothorax . The mediastinal and cardiac contours are normal .
    OUTPUT:
    
The exam is unchanged since ___ with no acute findings . If clinical suspicion for malignancy is high , consider CT .