Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . The mediastinal and hilar contours are similar . Pulmonary vasculature is not engorged . Re - demonstrated are diffuse ill - defined nodular opacities compatible with bronchiolitis and bronchiectasis with bronchial wall thickening , thought to be due to chronic nontuberculous mycobacterium infection , perhaps slightly worse in the interval . No pleural effusion , focal consolidation , or pneumothorax is present . There are mild to moderate multilevel degenerative changes noted in the thoracic spine .
    OUTPUT:
    
Widespread bronchiectasis with bronchial wall thickening and bronchiolitis compatible chronic nontuberculous mycobacterium infection , slightly worse in the interval .