Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Fibrotic changes as seen on prior CT are noted in the lungs , right greater than left with associated volume loss in the right hemithorax . There is no definite superimposed acute consolidation given differences in technique . There is no pleural effusion or pneumothorax . There is mild cardiomegaly . Chronic changes noted at the right shoulder and old proximal left humeral fracture is also noted .
    OUTPUT:
    
Fibrotic changes in the lungs bilaterally , right greater than left without definite superimposed cardiopulmonary process .