Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to priors , there has been no significant interval change . Left lower lobe interstitial markings are compatible with patient 's known lymphangitic carcinomatosis . Left hilar enlargement was previously characterized as adenopathy on prior chest CT . There is no new consolidation , effusion , or edema . Cardiac silhouette is within normal limits . No acute osseous abnormalities . Anterior cervical fixation hardware is partially visualized .
    OUTPUT:
    
Changes of known left lower lobe lymphangitic carcinomatosis and left hilar adenopathy . No definite superimposed acute cardiopulmonary process .