FINDINGS:
Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs
 with bilateral perihilar reticular interstitial opacities consistent with
 vascular crowding and prominence of interstitial markings bilaterally, similar
 to previous examination and characterized as interstitial lung disease on CT
 chest dated .  No pleural effusion or pneumothorax. No new focal
 opacity. Abnormal contour or of the right hemidiaphragm is stable since . The cardiomediastinal silhouette is stable.
 
 Limited study of the upper abdomen is unremarkable and visualized osseous
 structures are notable for diffuse osteopenia and a chronic healed left mid
 clavicular fracture. Kyphosis is again noted with multiple thoracic
 compression fractures, unchanged from previous examination.

IMPRESSION:
Stable prominence of interstitial markings bilaterally consistent with
 interstitial lung disease, best assessed on CT chest dated . No
 evidence of pneumonia.