Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Extensive intrathoracic calcifications are again seen , better localized on the chest CT examination from ___ . The heart size is top normal . A tracheostomy tube is appropriately positioned . A right PICC terminates at the caval atrial junction . Again seen are bilateral pulmonary parenchymal opacities , with interval improvement along the right mid and lower zones since the ___ radiograph . Opacities across the left lung are unchanged . There is no pneumothorax . Small bilateral pleural effusions are stable . ,
    OUTPUT:
    
Interval decrease of right pulmonary parenchymal opacities , reflecting improvement since ___ . Unchanged small bilateral pleural effusions .