Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Compared to prior study , there is an increase in opacities in the superior portion of the right lower lobe and the left lower lobe , as well as possibly in the medial portion of the right lower lobe . No pleural effusion or pneumothorax . Cardiomediastinal and hilar contours are stable .
    OUTPUT:
    
Increase in opacities in the right and left lower lobes likely represent mucoid impaction and pneumonia on a background of severe chronic bronchiectasis .