Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . As seen on multiple prior exams , there is generalized chronic interstitial fibrosis manifested by coarsened interstitial markings which is compatible with provided clinical history of ILD . There is no superimposed consolidation to suggest pneumonia . No pleural effusion or pneumothorax . The cardiomediastinal silhouette is stable . No free air below the right hemidiaphragm . An old left mid shaft clavicle deformity is again noted . No acute bony abnormalities .
    OUTPUT:
    
No superimposed pneumonia in this patient with known ILD .