Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is unchanged with stable mediastinal and hilar contours . There has been marked change compared to prior examination with widespread bilateral right greater than left nodular opacities as well as significantly increased reticular markings with peripheral and basilar predilection . There is no large pleural effusion or pneumothorax . There is unchanged hyperinflation of the lungs with biapical pleural thickening .
    OUTPUT:
    
Markedly abnormal chest radiograph with separate findings of right greater than left multiple ill - defined nodular densities and increased reticular markings with peripheral and basal predilection . The differential for these findings remain broad , and further evaluation with dedicated chest CT is recommended . Results were discussed over the telephone with Dr . ___ by ___ ___ at 4 :06 p .m . on ___ at the time of initial review .