Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral diffuse interstitial opacities , more pronounced in the lung bases , worsened from recent film from outside institution . Baseline interstitial lung disease and emphysema are better assessed in prior CT . Elevation of the right hemidiaphragm is present and of unknown chronicity . Fractures of the lateral aspect of the right ribs five through nine are better assessed in recent CT . Cardiomediastinal and hilar contours are unremarkable . A small right - sided pleural effusion is present . There is no pneumothorax .
    OUTPUT:
    
1 . Compared with recent radiograph there is interval development of interstitial edema on underlying extensive interstitial lung disease and emphysema . 2 . Rib fractures through the right lateral ribs five through nine . 3 . Elevation of the right hemidiaphragm of unknown chronicity . A small right - sided pleural effusion is present .