FINDINGS:
Diffuse interstitial fibrosis is present compatible with provided history of
 idiopathic pulmonary fibrosis. Difficult to exclude a superimposed pneumonia
 especially in the absence of baseline prior chest radiograph. No large
 effusion or pneumothorax. Heart size is difficult to assess. Bony structures
 appear grossly intact.

IMPRESSION:
Interstitial fibrosis. Difficult to exclude a superimposed pneumonia.