Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains within normal limits . The aorta is diffusely calcified . Mediastinal and hilar contours are unchanged . Coarse interstitial opacities and lung hyperinflation appear relatively unchanged compatible with COPD . Known left upper lobe nodule is re - demonstrated . Mild pulmonary vascular engorgement is seen without frank pulmonary edema . No pleural effusion , new focal consolidation or pneumothorax is present . No acute osseous abnormalities visualized .
    OUTPUT:
    
Mild pulmonary vascular congestion without frank pulmonary edema . Similar appearance of chronic interstitial lung disease .