Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are appropriate . Note is again made of diffuse interstitial opacities with lower lung predominance compatible with the patient 's known interstitial lung disease . No superimposed focal consolidation is seen to suggest pneumonia . No pleural effusion or pneumothorax is detected . The cardiac silhouette is mildly enlarged but stable . The mediastinal contours are unchanged . No acute osseous abnormality is detected .
    OUTPUT:
    
No acute interval change in diffuse interstitial lung disease .