Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is continued increase in interstitial markings bilaterally , similar to the prior study consistent with multifocal bronchiectasis and chronic lung disease . On the lateral view , there may be slight increase in opacity projecting over the lower cervical spine , although this is not substantiated on the frontal view , though an infectious process can not be entirely excluded . No pleural effusion or pneumothorax is seen . Cardiac and mediastinal silhouettes are stable and unremarkable .
    OUTPUT:
    
Grossly stable chronic changes in the lungs including chronically increased interstitial markings and multifocal bronchiectasis , subtle increase in opacity projecting over the lower thoracic spine on the lateral view , appears increased as compared to the prior study though may be related to differences in technique in inspiration , however , infectious process is not entirely excluded .