Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The aorta is tortuous . Fullness of the mediastinal contour is unchanged , compatible with underlying lymphadenopathy . Superior retraction of the hila with diffuse parenchymal opacities , architectural distortion and scarring most pronounced in the lung apices are all unchanged compared to the previous exams and compatible with sarcoidosis . No new focal consolidation , pleural effusion or pneumothorax is present . No pulmonary edema is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Relatively unchanged exam with continued diffuse parenchymal opacities and mediastinal lymphadenopathy compatible with sarcoidosis .