Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated as on prior . Blunting of the bilateral costophrenic angles suggests small effusions as on prior . Coarse interstitial markings are seen throughout , likely due to chronic underlying lung disease . Calcified granuloma projects over the right upper lung medially , unchanged . There is no evidence of focal consolidation . Cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
Findings suggestive of chronic underlying lung disease . Persistent small bilateral pleural effusions . No superimposed acute consolidation .