Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are within normal limits without change . Bilateral upper lobe volume loss and scarring are similar . However , there are new confluent opacities in the right middle lobe , lingula and left lower lobe , possibly with accompanying bronchiectasis in the right middle lobe and lingula . No pleural effusion or pneumothorax .
    OUTPUT:
    
Multifocal parenchymal opacities in the right middle lobe , lingula and left lower lobe , with possible accompanying bronchiectasis . In the setting of chronic cough , these findings could be due to chronic atypical mycobacterial infection , although an acute pneumonic process is also possible in the appropriate clinical setting . If warranted clinically , chest CT could be obtained to more fully evaluate the lung parenchyma and airways , particularly if acute infectious symptoms are absent .