Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The appearance on today 's study are similar from the prior day with some hazy increased opacity in both lower lungs that could represent either atelectasis or early infiltrate again seen are diffuse degenerative changes of the lumbar spine with flowing anterior osteophytes
    OUTPUT:
    
Bilateral lower lobe areas of volume loss or infiltrate , similar to prior