Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Cardiac silhouette size is normal . The mediastinal and hilar contours are unchanged . A small hiatal hernia is re - demonstrated . There is no pulmonary edema . Increased interstitial markings with reticulation at the lung bases are similar compared to the prior exam . No new focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormalities seen .
    OUTPUT:
    
Chronic interstitial lung disease with a basilar predominance , previously characterized as NSIP type interstitial lung disease related to scleroderma . No new focal consolidation to suggest pneumonia .