Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to chest radiograph from ___ again seen are chronic changes related to cystic fibrosis with bronchiectasis , bronchial wall thickening , and nodular opacities in the upper lobes of both lungs consistent with impacted bronchi . Previously identified left lower lobe opacity abutting the pleura is no longer seen on today 's examination . No new focal opacity . No pleural effusion or pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . Limited assessment of the upper abdomen is within normal limits .
    OUTPUT:
    
Findings consistent with chronic changes of cystic fibrosis with impacted bronchiectasis . Clinical correlation is recommended to assess for superimposed infection .