Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are somewhat diminished lung volumes . Coarse interstitial pulmonary and markings again seen , most prominent in the lung bases , consistent with known pulmonary fibrosis . No new opacities or findings are seen to suggest an acute pulmonary process . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable . The patient is status post total right shoulder replacement .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary process . 2 . Findings consistent with known pulmonary fibrosis