Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes remain low . Heart size is mildly enlarged but unchanged . The aortic knob is calcified . Diffuse parenchymal opacities with architectural distortion and bronchiectasis is re - demonstrate compatible with known chronic fibrotic lung disease , overall similar compared to the prior exam . No new areas of focal consolidation , pleural effusion or pneumothorax is seen . No pulmonary edema is demonstrated .
    OUTPUT:
    
Relatively similar appearance of diffuse chronic chronic lung disease . No new gross focal consolidation identified .