Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged . The aorta is tortuous and diffusely calcified . Superior hilar retraction with scarring , bronchiectasis , and architectural distortion is noted within the left upper lobe , with unchanged chronic volume loss in the left hemi thorax . Patchy left basilar opacity and right upper lobe nodular opacification also are unchanged , and may reflect chronic interstitial lung disease related to vasculitis though increased atelectasis or infection of the left lung base is not excluded . Blunting of the left costophrenic angle is unchanged , and no large pleural effusion or pneumothorax is detected . There are no acute osseous abnormalities . Compression deformity of the T12 vertebral body is unchanged .
    OUTPUT:
    
Chronic interstitial lung disease related to vasculitis , not substantially changed in the interval except for increased patchy left basilar opacity , for which worsening atelectasis or infection may be present .