Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased interstitial markings again seen throughout the lungs with increased lucency at the right lung base with flattening of the diaphragm , similar in configuration compared to prior exams . Surgical chain sutures seen at the right lung apex . There is no definite superimposed acute process are new consolidation . The cardiomediastinal silhouette is stable . No acute osseous abnormalities . Old left - sided rib fractures are again noted .
    OUTPUT:
    
Chronic changes without acute cardiopulmonary process .