Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternal wires and mediastinal clips denote prior cardiac surgery . The heart size is top normal . Widespread coarse reticular opacities are increased since the ___ radiograph , particularly at the bases , verified via direct comparison between the abdominal CT examination performed this evening and a chest CT from ___ , reflecting progressive interstitial lung disease in the setting of severe emphysema . Bilateral upper zone calcified nodules are also seen on the CT from ___ , likely the sequela of granulomatous disease . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Progression of coarse reticular widespread opacities reflective of worsening interstitial lung disease in the setting of severe emphysema . No superimposed acute process detected .