Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A do lead pacemaker is unchanged in position compared to the prior study . The heart size appears enlarged even allowing for the projection . Lung volumes are within normal limits . There is diffuse prominence of the bronchovascular markings with apparent diffuse reticular opacities . The findings are more consistent with interstitial lung disease than acute infection although this could have a similar appearance . There are small bilateral pleural effusions .
    OUTPUT:
    
No focal consolidation seen however there is diffuse prominence of the bronchovascular air markings and increased haziness throughout both lungs . The appearance is more suggestive of interstitial lung disease however acute infection could have a similar appearance . Small bilateral pleural effusions .