Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear of consolidation . Diffusely increased interstitial markings appear chronic . Mild to moderate cardiomegaly is seen . Hypertrophic changes noted in the spine .
    OUTPUT:
    
Hyperinflation with chronic increased interstitial markings , potentially due to chronic interstitial process , although interstitial edema is possible . No focal consolidation .