Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . Again , diffuse fibrotic changes are noted in the lungs . There is no evidence of new consolidation , nor effusion . Cardiomediastinal silhouette is stable in appearance . There is no visualized displaced rib fracture ; however , examination is limited due to technique and osteopenia .
    OUTPUT:
    
No definite acute cardiopulmonary process . Diffuse fibrotic changes in the lungs . If desired , dedicated rib series can be performed for more detail of the ribs .