Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A CT has now been uploaded to the system that was performed on ___ that showed findings compatible with scleroderma associated with interstitial lung disease specifically there was extensive subpleural bibasilar predominant honeycombing suggesting usual interstitial pneumonia pattern on that CT the honeycombing was much more pronounced in the lower lobes than in the upper lobes . On the current chest x-ray . There is diffuse bilateral infiltrate . That has not alveolar component that is new compared to the CT from ___ . There also small bilateral pleural effusions . As described on the prior study there is dilated loops of bowel in the abdomen . The NG tube is in the stomach . The ETT the ET tube is 4 cm above the carina .
    OUTPUT:
    
Acute on chronic pulmonary changes with severely abnormal appearance to the chest . . The new alveolar infiltrate may be infectious .