Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is re- demonstrated . The aorta is tortuous and diffusely calcified . Mediastinal and hilar contours are stable . Linear opacities in the right mid and lower lung fields likely reflect areas of atelectasis or scarring . Partially loculated right pleural effusion is small and unchanged from prior . Right basilar patchy opacity may reflect atelectasis . No pneumothorax is identified . Marked abnormality of both glenohumeral joints with bony remodeling of the femoral heads is re-demonstrated .
    OUTPUT:
    
No substantial interval change from the prior exam . Continued small partially loculated right pleural effusion and trace left pleural effusion . Right basilar patchy opacity may reflect atelectasis but aspiration or infection is not completely excluded .