Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiograph demonstrates hyperinflated lungs with persistent bilateral scattered areas of parenchymal opacities many of which have nodular components , similar to ___ . Chronic bronchiectasis is stable . Heart size , mediastinal contour , and hila are otherwise unremarkable . No pleural effusion or pneumothorax . Limited assessment of the upper abdomen is unremarkable .
    OUTPUT:
    
Persistent multifocal parenchymal with nodular components are similar dating back to ___ . No definite new focal opacity but subtle abnormalities would be difficult to detect within the setting of complex baseline abnormality . CT would be more sensitive and may be considered if warranted clinically .