Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The upper lobe predominant peripheral mixed interstitial alveolar process appear similar compared to prior imaging . Cardiomediastinal shadow unchanged . No new airspace consolidation . No pleural effusions . Spondylotic changes of the thoracic spine with an age indeterminate compression fracture of the superior endplate of L1 . Chronic midshaft fracture of the right clavicle .
    OUTPUT:
    
The upper lobe predominant peripheral mixed interstitial alveolar process is unchanged compared to prior . In the differential diagnosis consider cryptogenic organizing pneumonia most likely , but correlation with lab values advised to exclude eosinophilic pneumonia .