Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted are extensive bibasilar interstitial opacities in keeping with known fibrosis related to scleroderma . There is no new focal consolidation . Cardiomediastinal silhouette is normal . No pleural effusion or pneumothorax .
    OUTPUT:
    
Unchanged appearance of bibasilar fibrosis with no new consolidation to suggest pneumonia .