Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is little overall change in the appearance of the chest since the prior study from ___ . Widespread chronic interstitial fibrotic changes , bilateral lower lobe bronchiectasis , and extensive subpleural nodularity persists . No new consolidation is identified . The heart size is stable . There is no pneumothorax . Degenerative changes of the bilateral glenohumeral joints are noted .
    OUTPUT:
    
Chronic interstitial fibrotic changes , lower lobe bronchiectasis , and extensive subpleural nodularity is similar compared to prior studies .