Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouette is stable . Aortic arch calcifications are re- demonstrated . The hila are unremarkable . Diffuse interstitial prominence and bronchial wall thickening is again seen . In the right upper lobe , there is multifocal interstitial opacity better evaluated on prior chest CT from ___ , likely relating to the mixed solid and ground - glass nodules seen on that study . Pleural parenchymal scarring is seen in the lung apices . There is no focal lung consolidation . There is no pulmonary venous congestion or pulmonary edema . There is no pneumothorax or pleural effusion . Lungs are hyperinflated .
    OUTPUT:
    
1 . Right upper lobe interstitial opacities are better evaluated on prior CT , correlating to mixed solid and ground - glass nodules seen on that study . Follow - up chest CT is recommended to document stability . 2 . Diffuse interstitial abnormality , mild bronchial wall thickening , and hyperinflation is consistent with COPD . 3 . No focal lung consolidation .