Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Widespread ill - defined nodular opacities and bronchial wall thickening are again seen throughout both lungs , with more focal areas of opacification in the lung bases , compatible with worsening small airways infection . No sizeable pleural effusion or pneumothorax is present . The heart is of normal size . Osseous structures are unremarkable . No radiopaque foreign body .
    OUTPUT:
    
Widespread nodular opacities with increased bibasilar opacities and continued bronchial wall thickening , compatible with worsening small airways infection .