Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Decreased lung volumes are redemonstrated . The cardiac , mediastinal and hilar contours are unchanged . Coarse interstitial opacities in a basal predominant pattern are compatible with the patient 's underlying chronic interstitial lung disease , previously characterized as fibrotic NSIP related to scleroderma on prior CT . These fibrotic changes limit assessment of the underlying lung parenchyma , but no new areas of opacification are present to suggest pneumonia . The pulmonary vascularity does not appear engorged . No pleural effusion or pneumothorax is identified , and no acute osseous abnormality is seen .
    OUTPUT:
    
Chronic interstitial lung disease compatible with fibrotic NSIP as characterized on the prior chest CT , without new areas of parenchymal opacification identified to suggest pneumonia .