Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size remains mildly enlarged . The mediastinal and hilar contours are unchanged with rightward deviation of the trachea again noted . Diffuse chronic interstitial lung disease with fibrosis , honeycombing , and architectural distortion is again noted , not substantially changed in the interval . No definite new focal consolidation , pleural effusion or pneumothorax is seen . No pulmonary edema is clearly identified . There are no acute osseous abnormalities . Multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
Fibrotic chronic interstitial lung disease , not substantially changed in the interval . No new focal consolidation .