Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly with tortuosity of the aorta is unchanged from prior study . Hilar contours are unremarkable . Again appreciated are moderate increased interstitial lung markings with lower zone predominance , similar to prior examination given difference of technique . There is no focal consolidation . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Similar appearance of moderately increased interstitial lung markings suggestive of pulmonary fibrosis .