Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . The diffuse interstitial pulmonary opacity has rapidly progressed from ___ . There is no dense focal consolidation , or pneumothorax . Small bilateral effusions are present . There is no pulmonary edema . The cardiac contour is mildly enlarged .
    OUTPUT:
    
Rapid progression of pulmonary fibrosis on a background of paraseptal emphysema . There has been a worsening of the chest radiograph findings compared with ___ . Given this progression , a repeat chest CT is recommended for further disease characterization . Findings were discussed via telephone with Dr . ___ at 2 p .m . on ___ .