Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again , there is subtle increase in interstitial markings bilaterally , similar as compared to prior study this is a chronic lung disease . No new focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable . Chronic right - sided rib deformities are again seen .
    OUTPUT:
    
No acute cardiopulmonary process . Chronic lung disease .