Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Prominence of central pulmonary vascularity is unchanged . The lungs are clear . Bilateral bronchial wall thickening is present and is more conspicuous than on the prior study . Focal pleural thickening at right costophrenic sulcus laterally appears unchanged . No acute skeletal findings .
    OUTPUT:
    
1 . No areas of consolidation to suggest the presence of pneumonia . 2 . Bronchial wall thickening , which could reflect bronchitis in the appropriate clinical setting . 3 . Enlarged central pulmonary artery suggesting pulmonary arterial hypertension .