Coal to gas conversion is pretty easy (though the result won't be as efficient as a combined cycle plant desgined to run on GAS). You just have to add some gas jets and gas piping to the combustion chamber. The design of the boiler and it's operating pressure can stay much the same and any extra physical space requirements are minimal.
That doesn't mean coal to other things will be anywhere near as easy even if the fundamental "boiling water drives steam tubine" bit remains. You have to think of the physical location requirements of the new steam source, the steam pressures it can provide without overheating (AIUI nuclear power plants tend to run at lower temperature/pressure than coal fired ones).
In the case of fusion it is expected that to achive breakeven fusion plants will have to be BIG.