Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains moderately enlarged , with prominent epicardial fat re - demonstrated . Mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not large . Lungs are hyperinflated without focal consolidation . No pleural effusion or pneumothorax is clearly identified . Multiple areas of lobulated lateral pleural thickening are seen bilaterally likely reflective of pleural fat deposition , however 1 of these regions within the left lateral lower hemi thorax is larger compared to the previous chest radiograph , measuring approximately 6 .3 x 3 .1 cm on the frontal view . No acute osseous abnormality is visualized .
    OUTPUT:
    
Left inferolateral pleural based density may reflect prominent pleural fat deposition , but appears larger compared to the previous chest radiograph . Further assessment with chest CT is recommended to confirm this finding . Otherwise , no acute cardiopulmonary abnormality .