Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small bilateral pleural effusions are unchanged . Heart size and mediastinal contours are stable . Endotracheal and enteric tubes are unchanged . Bilateral reticular interstitial opacities , predominantly in the lower lobes , are essentially unchanged . Hyperinflation and scattered lucencies may represent bronchiectasis and emphysema .
    OUTPUT:
    
No interval change . Stable support devices . CT chest is recommended to evaluate for chronic lung changes which are apparent on chest radiograph .