Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal with a left ventricular predominance . The aorta remains unfolded . The mediastinal contours are unchanged . There is no pulmonary edema . Patchy opacity is noted within the right lower lobe and to a lesser extent within the left lower lobe with bronchial wall thickening , findings compatible with known bronchiectasis and probable small airways infection or inflammation . There is no pleural effusion or pneumothorax . No acute osseous abnormalities detected .
    OUTPUT:
    
Patchy bilateral lower lobe airspace opacities with bronchial wall thickening , more pronounced in the right lower lobe , compatible with bronchiectasis and small airways infectious or inflammatory process , including ___ .