Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Again seen are multifocal regions of scarring which are most notable in the mid upper lungs and retrocardiac region . There is no definite new consolidation or effusion . Mild cardiomegaly is again noted . Multifocal vertebroplasties again noted .
    OUTPUT:
    
Chronic fibrotic changes in the lungs without definite superimposed acute process noting that assessment for a subtle change is limited .