Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are persistent reticular nodular opacities , most pronounced in the right mid to lower lung and also present in the left lung , notably in the left mid to lower lung , although overall appear less conspicuous in the left lung as compared to the prior study . Evidence of bronchiectasis , particular involving the right mid to lower lung and to a lesser extent the left lung base again seen . Right base opacity persists , which may be combination bronchiectasis and mucous plugging . Evidence of a moderate to large hiatal hernia is also seen , with retrocardiac air - fluid level . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Persistent reticular nodular opacities in this patient with history of bronchiectasis / chronic lung disease . Right base opacity persists , may be combination bronchiectasis and mucous plugging , underlying infection is difficult to exclude . Hiatal hernia .