Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No pleural effusions . Known fibrotic changes are again noted in the right upper lung . There is suggestion of borderline prominent pulmonary vascular markings . Otherwise , the lungs are without focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is at the upper limits of normal .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Fibrotic changes in the right upper lung appear relatively stable .