Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Again seen are extensive bilateral opacities similar prior studies limiting evaluation for superimposed infection . Subtle increase in heterogeneous opacity within the right lower lobe noted . Increasing opacity projecting over the right upper lobe . No pleural effusion or pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . Healed rib fractures are again noted .
    OUTPUT:
    
On a background of chronic bronchiectasis and increased lung markings , there is increased right suprahilar opacity and possible right lower lobe opacity compared to the prior examination . This may reflect extension of the known process , however chest CT would be helpful for further evaluation as infection is difficult to exclude .