Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior study , there has been decrease in lung volumes and redemonstration of coarse interstitial markings . Cardiomediastinal silhouette is mildly enlarged and there is no new focal parenchymal consolidation . No evidence of large pleural effusion or pneumothorax . Aside from general osteopenia , there is no acute osseous finding .
    OUTPUT:
    
No significant interval change from ___ , with no evidence of new pneumonia .