There is moderately extensive subpleural fibrosis involving the empire lungs bilaterally, worst at the right lung base. Minor mediastinal lymphadenopathy is consistent with chronic lung disease. Lungs and pleural spaces are otherwise clear. Moderate prominence of the pulmonary arteries and slight prominence of the right sided cardiac chambers to suggest development of pulmonary hypertension.
Conclusion: Pulmonary fibrosis with probable development of secondary pulmonary hypertension.