Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are diffusely increased interstitial markings throughout the lungs which are hyperinflated . There is no effusion or pneumothorax . Cardiac silhouette is enlarged but unchanged . Multiple vascular stents are again identified . Numerous punctate calcifications in the left upper quadrant are compatible with splenic granulomas . No acute osseous abnormalities identified .
    OUTPUT:
    
Increased interstitial markings throughout the lungs bilaterally which can be seen in the setting of atypical infection or interstitial edema , likely superimposed on underlying emphysema .