Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the recent CT chest , no significant changes are appreciated . Substantial peritracheal and hilar soft tissue densities correspond to comparable bulky lymphadenopathy better appreciated on CT chest dated ___ . The lungs are otherwise fully expanded and clear without focal consolidation or suspicious pulmonary nodules . Heart size is normal . No pulmonary vascular congestion . No pleural abnormalities .
    OUTPUT:
    
Bulky mediastinal lymphadenopathy is comparable to recent CT . No pulmonary or osseous abnormalities concerning for additional metastatic disease .