Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change since ___ . Diffuse interstitial opacities are consistent with underlying fibrotic lung disease , better demonstrated on prior cross - sectional imaging . No new consolidation to suggest pneumonia . There is no pleural effusion or pneumothorax . Moderate cardiomegaly is stable . Mediastinal widening is likely due to known lymphadenopathy , better demonstrated on the prior chest CTA dated ___ . Slight asymmetry in the breast tissue .
    OUTPUT:
    
No significant change with pulmonary fibrosis related to known interstitial lung disease and mediastinal and hilar prominence likely reflecting known lymphadenopathy .