Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . Bilateral asymmetric pleural thickening with calcifications is seen , suggestive of prior asbestosis exposure . Interval worsening of basilar predominant reticular opacities . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is moderately enlarged . Sternotomy wires are noted .
    OUTPUT:
    
Bilateral asymmetric pleural thickening with calcifications , suggestive of previous asbestos exposure . In this context , worsening basilar reticular opacities may reflect chronic interstitial lung disease with possible component of superimposed acute edema . Follow - up chest radiograph could be performed after diuresis to further clarify this issue . High - resolution CT would also be helpful on a nonemergent basis to better characterize the patient 's lung findings .