Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . The mediastinal and hilar contours appear unchanged , including calcification and unfolding along the aorta . There is similar moderate relative elevation of the right hemidiaphragm compared to the left . The mediastinal and hilar contours appear unchanged . There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung , most consistent with pulmonary fibrosis . Parenchymal findings appear stable allowing for small differences in technique . There is no pleural effusion or pneumothorax . The lateral view depicts air - fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome . In addition , there is a cluster of small densities , possibly pill fragments , three altogether projecting near the expected site of the gastroesophageal junction . The bones appear demineralized .
    OUTPUT:
    
1 . Stable findings of chronic interstitial lung disease without definite evidence for superimposed process . 2 . Air-fluid level in the esophagus which could be seen with known CREST syndrome . In addition , there is a cluster of small densities , possibly pill fragments , three altogether , projecting near the expected site of the gastroesophageal junction . Clinical correlation regarding any potential aspiration risk is recommended .