Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: fine reticular lung markings are not appreciably changed since ___ , and likely reflected chronic interstitial abnormality in the setting of emphysema . The lungs are mildly hyperinflated . There is no new consolidation or pleural effusion . Mild cardiomegaly is stable . Generalized osteopenia and spinal degenerative changes have slightly progressed , including a chronic mid thoracic vertebral body compression fracture .
    OUTPUT:
    
No evidence of pneumonia . Chronic parenchymal are suggestive of emphysema . Stable mild cardiomegaly .