Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal with coronary artery calcifications re - demonstrated . Mediastinal and hilar contours are unchanged . Lungs remain hyperinflated with bronchial wall thickening and enlargement in the lung bases compatible with bronchiectasis , as seen previously . Patchy ill - defined opacities in the lung bases as well as within both upper lobes are largely unchanged compared to the previous radiograph . No new focal consolidation , pleural effusion or pneumothorax is seen . No acute osseous abnormality is demonstrated .
    OUTPUT:
    
No substantial interval change since the previous examination . Bronchiectasis , most pronounced in the lung bases , with multifocal patchy airspace opacities which could reflect chronic endobronchial infection / multifocal pneumonia . No new focal consolidation otherwise demonstrated .