Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Opacities are again seen in bilateral lung bases , not substantially improved from prior study , and is consistent with bilateral lower lung pneumonia . Extensive bronchiectasis is again seen . Heart size is normal . Mediastinal and hilar contours are normal .
    OUTPUT:
    
Bilateral lower lung pneumonia , not substantially changed compared to prior study from 5 days ago .