Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again , there are relatively low lung volumes . Increased interstitial markings bilaterally are similar to prior in this patient with history interstitial lung disease . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Partially imaged is hardware in the right humerus . Fracture with lucency along the distal left clavicle again seen , with inferior displacement of the distal fracture fragment which may be slightly increased as compared to the prior study . There is persistent widening of the left acromioclavicular joint .
    OUTPUT:
    
Low lung volumes with chronic interstitial changes without definite acute change . Distal left clavicular fracture with widening of the left acromioclavicular joint .