Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the cardiac silhouette is re - demonstrated . The aorta is diffusely calcified and tortuous . Worsening diffuse ground - glass opacities with new vascular indistinctness is present . This is superimposed on a background of increased interstitial markings with ground - glass opacification previously thought to reflect NSIP . No pleural effusion or pneumothorax is present . No acute osseous abnormalities identified .
    OUTPUT:
    
Findings suggestive of mild pulmonary edema superimposed on a background of chronic interstitial lung disease , previously thought to reflect NSIP . However , acute worsening of chronic interstitial lung disease or atypical infection is not excluded . Followup radiographs after diuresis are recommended for further assessment .