Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes have decreased with slight increase in peripheral interstitial opacities . No acute focal consolidation or new nodules within the limitations of chest radiograph . The cardiomediastinal contour is stable . Blunting of the left costophrenic angle is also stable . No acute osseous abnormalities .
    OUTPUT:
    
Worsening fibrotic interstitial lung disease , which limits the sensitivity of chest radiograph for metastases . No definite new pulmonary nodules or masses , but CT may be considered if warranted clinically .