Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two views of the chest were obtained . Scattered upper lung and more confluent left perihilar and bibasilar opacities are seen in a similar distribution to the previous examination and even more remote chest CTs , compatible with the patient 's known interstitial lung disease with interval increase in right - sided small pleural effusion with fluid tracking along the fissure and trace left effusion . On this background , a developing infectious process or sequelae of aspiration would be difficult to exclude in the right base . Enlarged pulmonary artery is compatible with history of pulmonary arterial hypertension with otherwise normal heart size .
    OUTPUT:
    
Changes of chronic interstitial lung disease , likely related to the patient 's known systemic sclerosis , with increased right effusion . Infectious process or aspiration in the right base would be difficult to exclude on these images . Findings were discussed with Dr . ___ at 10 :55 on ___ by phone by Dr . ___ .