Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Coarsened lung markings with widened AP diameter of the chest suggests underlying fibrosis and / or emphysema . There is no prior study to assess the stability of this finding . No definite signs of pneumonia or CHF . No large pleural effusion is seen . The heart is mildly enlarged . The mediastinal contour appears grossly unremarkable , though faint atherosclerotic calcifications along the aortic knob noted . There are two levels of thoracic wedge compression deformities in the mid to lower T - spine . Otherwise , the imaged osseous structures appear intact .
    OUTPUT:
    
Coarsened interstitial lung markings which likely reflect chronic lung disease / fibrosis . Clinically , no definite signs of pneumonia .