Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The lungs are hyperinflated . Increased interstitial markings are seen throughout but there is no evidence of consolidation . Cardiac silhouette is moderately enlarged . There is increased opacity projecting over the left lung laterally with a configuration of an pleural - based lesion . There is no effusion . Bones are osteopenic and degenerative changes are seen at the right shoulder .
    OUTPUT:
    
Cardiomegaly . Increased interstitial markings in lungs suggestive of chronic changes potentially from failure . Possible pleural based lesion the left lung laterally . Correlation with prior imaging is suggested and presumed performed elsewhere as patient has history of pulmonary embolism .