Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are persistent increased interstitial markings , particularly at the lung apices which correspond with centrilobular micronodules identified on prior chest CT . Left base pulmonary nodule also projects over the cardiac silhouette , grossly unchanged . There is no new consolidation or large effusion . There is no pneumothorax . Cardiomediastinal silhouette is stable . Median sternotomy wires are noted as well as a coronary artery stent . Degenerative changes partially visualized at the shoulders bilaterally . There is possible right shoulder dislocation .
    OUTPUT:
    
No acute cardiopulmonary process . Chronic changes at the lung apices bilaterally and left base pulmonary nodule . Possible right shoulder dislocation . Consider dedicated right shoulder films .