Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta is tortuous but unchanged . Mediastinal and hilar contours are stable , and no pulmonary vascular congestion is demonstrated . No new focal consolidation , left - sided pleural effusion or pneumothorax is present . Chronic small right pleural effusion which is loculated along the basolateral aspect of the right hemithorax is similar , as is bi-apical thickening , more pronounced on the right . Post surgical changes are seen involving the right AC joint with a high riding humerus suggestive of underlying rotator cuff disease .
    OUTPUT:
    
No interval change from the previous exam . No new areas of focal consolidation to suggest pneumonia , and no evidence of pulmonary edema .