Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been little change in comparison to prior study from ___ , with reticulonodular opacities again visualized bilaterally and largely unchanged . Right apex and left lower lobe areas of conglomeration of nodules remain unchanged . There is no evidence of focal consolidations , effusions , or pneumothoraces . Degenerative changes are again visualized throughout the thoracic spine along with stable wedge compression deformity .
    OUTPUT:
    
Little change in comparison to prior study from ___ , with reticulonodular opacities again visualized bilaterally and largely unchanged .