Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral basilar predominant changes associated with pulmonary fibrosis appear stable . The heart is top - normal in size . Pulmonary vasculature is not engorged . No pleural effusion or pneumothorax . Elevation the right hemidiaphragm is stable .
    OUTPUT:
    
No acute cardiopulmonary process . If there is concern for malignancy , CT of the chest could be performed for further evaluation .