Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated with flattening of the diaphragms compatible with COPD . Additionally , paraseptal emphysematous changes are present with bleb noted at the lung apices . Linear calcification compatible with scarring is also seen in the right lung apex . Heart size is normal . The mediastinal and hilar contours are unremarkable and there is no pulmonary vascular engorgement . Diffuse , coarse interstitial opacities are more pronounced in the right lung compared to the left with bronchial wall thickening and ill - defined nodular opacities , similar when compared to the previous exam . No pleural effusion or pneumothorax is present . No new focal opacities noted . There are no acute osseous abnormalities .
    OUTPUT:
    
Similar appearance of diffuse chronic interstitial lung disease , likely reflective of bronchiectasis with chronic airways infection and / or inflammation . A non-emergent chest CT can be obtained for further assessment .