Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are present . Heart size remains moderately enlarged . Mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not engorged . Increased interstitial opacities within the lung bases and periphery of both lungs are not substantially changed in the interval , previously thought reflect UIP . No new focal consolidation , pleural effusion or pneumothorax is definitively noted . Multiple clips are seen in the left upper quadrant of the abdomen . No acute osseous abnormalities detected .
    OUTPUT:
    
Low lung volumes with chronic interstitial lung disease , not substantially changed since the previous radiograph , and thought to reflect UIP on prior chest CT . No new focal consolidation .