Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates at the cavoatrial junction , unchanged . Left - sided pacemaker device is re - demonstrated with leads terminating in unchanged positions . Heart size remains moderately enlarged . Mediastinal contours are unchanged . Bilateral hilar enlargement compatible with underlying lymphadenopathy is re - demonstrated as well as superior retraction of the hila due to chronic collapse , extensive bronchiectasis and scarring in the upper lobes , more so on the right . Continued ill - defined patchy opacities with nodularity are seen throughout both lungs , most pronounced in the left lung base . No new focal consolidation is present . Deformity of the right rib cage is chronic . No pleural effusion or pneumothorax is present .
    OUTPUT:
    
Chronic changes compatible with known history of cystic fibrosis with extensive upper lobe predominant bronchiectasis and multifocal areas of parenchymal opacification , most pronounced in the right upper lobe and left lower lobe .