Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Changes compatible with bibasilar bronchiectasis is again noted . More conspicuous opacity seen in the right middle lobe when compared to prior suggesting superimposed acute infection . More superiorly , the lungs remain clear . The cardiomediastinal silhouette is stable . No acute osseous abnormalities identified .
    OUTPUT:
    
Chronic changes including bibasilar bronchiectasis . Suspected superimposed right middle lobe consolidation worrisome for active infection .