Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is increased compared to the previous study . The aorta remains tortuous and calcified . There is no pulmonary edema . Lungs remain hyperinflated . Diffuse bronchiectasis is most pronounced in the lung bases with bronchial wall thickening re - demonstrated . No new focal consolidation , pleural effusion or pneumothorax is present . There are mild degenerative changes noted in the thoracic spine .
    OUTPUT:
    
Moderate cardiac enlargement , increased compared to the previous study . Diffuse bronchiectasis , most severe in the lung bases , but not substantially changed in the interval .