Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta remains mildly tortuous . Prominence of the main pulmonary artery suggests underlying pulmonary arterial hypertension . Coarse interstitial opacities with bronchial wall thickening and diffuse bronchiectasis is re - demonstrated , with patchy bibasilar airspace opacities appearing more pronounced in the lung bases compared to the previous study . No pleural effusion or pneumothorax is seen . Moderate multilevel degenerative changes are present with chronic bilateral rib deformities again noted . Compression deformities of ___ mid thoracic vertebral bodies appears slightly progressed compared to the previous CT .
    OUTPUT:
    
Diffuse bronchiectasis and airway inflammation with coarse interstitial opacities compatible with chronic atypical infection such as ___ . The presence of increased patchy bibasilar airspace opacities , however , is concerning for superimposed or worsening infection .