Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker device is unchanged , with a single lead terminating in the right ventricle . The patient is status post median sternotomy with multiple mediastinal surgical clips , compatible with prior CABG . The lungs are symmetrically expanded . Interstitial abnormalities are again noted throughout both lungs , greater on the right than the left . There is no focal consolidation concerning for pneumonia . No pleural effusion or pneumothorax is detected . The pulmonary vasculature is not engorged . The cardiomediastinal silhouette is within normal limits and unchanged . The trachea is midline . The visualized upper abdomen is unremarkable . Anterior wedge compression fracture of the lower thoracic vertebral body is unchanged from the prior study .
    OUTPUT:
    
1 . No focal consolidation concerning for pneumonia . 2 . Interstitial lung disease with right lung predominance is overall unchanged from ___ .