Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multifocal airspace opacities bilaterally appear unchanged . Cardiac size is normal . There is no pneumothorax or pleural effusion . Again noted is the multiple bullet fragments projecting over the left upper quadrant . Lines and tubes are in appropriate positions and are unchanged compared to previous .
    OUTPUT:
    
No significant interval change since ___