Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well expanded with increased intersitial markings which are similar to the prior examination and may reflect interstitial lung disease . Nodular density in the right lower lung is noted . There is no focal consolidation or pleural effusion . The heart is normal in size with tortuous intrathoracic aorta .
    OUTPUT:
    
1 . Increased interstitial markings as on previous examination suggest an interstitial lung disease without significant progression since ___ . Evaluation by CT may be indicated based on clinical circumstance . 2 . Nodular density in the right lower lung may reflect nipple . If CT is not performed then repeat radiograph with nipple markers is recommended . Findings were entered in the radiology department 's online record for notification of critical results on ___ .