Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again , there is a mild diffuse interstitial abnormality , which can be seen in the setting of chronic lung disease . There is a 3 .5 cm cystic lesion in the right upper lobe , unchanged . No pneumothorax , pleural effusion or focal airspace consolidation worrisome for pneumonia . Heart is normal size . Mediastinal and hilar contours are unremarkable . There are severe degenerative changes of the right glenohumeral joint . Deformity of the right humerus may reflect prior fracture , however , this is incompletely evaluated .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Increased interstitial abnormality likely reflects colonic lung disease , however , nonemergent high - resolution chest CT could be considered . The right upper lobe cystic abnormality could be evaluated at that time as well .