Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are relatively well expanded , with persistent micronodular and interstitial opacities , compatible with known lymphangitis carcinomatosis , not significantly changed since the prior chest radiograph . There is no pneumothorax , pleural effusion , or new focal consolidation . A left chest wall port terminates in the upper right atrium . Gaseous distension of upper mid abdominal bowel loops is noted .
    OUTPUT:
    
Similar appearance of widespread interstitial and micronodular opacities , compatible with known lymphangitic carcinomatosis . No evidence of focal pneumonia .