Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is the fibrotic changes in bilateral lungs , similar compared to ___ . There is right - sided lung volume loss , similar to prior . No superimposed focal consolidation is identified . Pleural effusion is minimal if any . There is no pneumothorax . Cardiomediastinal silhouette is unchanged . Old left humeral fracture as well as severe degenerative changes of the right glenohumeral joint are unchanged .
    OUTPUT:
    
No remarkable change compared to ___ . Fibrotic changes of bilateral lungs without obvious superimposed acute cardiopulmonary process .