Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . The heart size is normal . Mediastinal and hilar contours are unchanged . Small right pleural effusion has increased in size compared to the prior study . Re - demonstrated is scarring with bronchiectasis and ill - defined nodular small opacities in the right middle lobe with coarse calcifications of the right breast . Right basilar patchy opacity likely reflects atelectasis . Pulmonary vasculature is not engorged . There is no pneumothorax .
    OUTPUT:
    
Slight interval increase in size of small right pleural effusion with right basilar atelectasis . Chronic bronchiectasis , scarring , and nodular opacities in the right middle lobe .