Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . There are increased interstitial markings throughout the lungs bilaterally which demonstrate low volumes . There is no confluent consolidation or effusion . Hiatal hernia is noted . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormality seen noting hypertrophic changes in the spine .
    OUTPUT:
    
Evidence of chronic interstitial lung disease without definite evidence of confluent consolidation . Please note that subtle infection would be difficult to exclude , especially without prior exam to evaluate for interval change .