Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are present with more pronounced volume loss seen in the right lung compared to the left . Heart size remains mildly enlarged with similar rightward shift of mediastinal structures . The aorta is tortuous and diffusely calcified . Chronic interstitial abnormality is most pronounced along the periphery and within the lung bases along with bronchiectasis , better assessed on the previous CT . No new focal consolidation , pleural effusion or pneumothorax is present . Pulmonary vasculature is not engorged . There are mild multilevel degenerative changes of the thoracic spine .
    OUTPUT:
    
Similar appearance of fibrosing chronic interstitial lung disease previously characterized as UIP without new focal opacity to suggest pneumonia .