Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with the study of ___ , there is little overall change in the peribronchial thickening and impaction with extensive bibasilar bronchiectasis . This is again extremely well seen on the lateral radiograph . Hyperexpansion of the lungs is consistent with emphysema and the cardiac size is normal . No evidence of pulmonary edema . No evidence of acute focal pneumonia .
    OUTPUT:
    
Little change in the severe bronchiectasis and emphysema .