There are bilateral perihilar large focal opacities with calcifications, along with reticulonodular interstitial pattern. Groundglass opacities predominantly in the bilateral lower lobes with small bilateral pleural effusions. There is parenchymal scarring and minimal peripheral honeycombing in the lower lobes, consistent with fibrosis. Pleural thinking and volume loss is evident. Numerous lymph node eggshell calcifications within the mediastinum, hila, and abdomen.
Heart is slightly enlarged with a trace-size pericardial effusion. There is prominence of the main pulmonary artery.
Numerous small course calcifications within the spleen, consistent with granulomatous disease.
Old thoracic compression fractures as seen on prior studies.