Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a diffuse reticular interstitial pattern , not significantly changed compared to the prior study and possibly related to chronic interstitial lung disease . Upper lung fibrosis with superior retraction of the hila is unchanged . There are no focal consolidations concerning for pneumonia . The heart is borderline enlarged , unchanged in size . There are no pleural abnormalities . Kyphosis of the thoracic spine is again noted . Surgical clips are seen in the left upper quadrant of the abdomen .
    OUTPUT:
    
1 . No acute cardiac or pulmonary process . 2 . Findings consistent with chronic interstitial lung process .