Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Progressive worsening of pulmonary fibrosis and decreasing lung volumes without vascular congestion . The mediastinal contours , cardiac borders , and hemidiaphragms are stable without evidence of pleural effusion . Chronic anterior wedging of thoracic vertebrae is unchanged .
    OUTPUT:
    
Progressive worsening of pulmonary fibrosis and decreasing lung volumes without pleural effusion or pulmonary edema .