Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is diffuse bronchiectasis with airway wall thickening . Diffuse parenchymal opacities are most pronounced at right upper lobe , and appears slightly worsened in the interval . The previously seen parenchymal opacities in the mid right lung field and left upper lung field have improved in the interval . Streaky bibasilar opacities are again seen and likely represent chronic changes . Persistent bilateral costophrenic angle blunting , similar to prior exam , could reflect chronic pleural thickening . There is no large pleural effusion or pneumothorax . Cardiomediastinal silhouette is stable from prior exam . Cholecystectomy clips are noted right upper quadrant .
    OUTPUT:
    
Diffuse bronchiectasis with slight worsening of opacification in the right upper lung field , perhaps reflective of airways infection or inflammation . Other areas of previously noted parenchymal opacification in the mid right lung field and left upper lung field have improved .