Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size appears borderline enlarged , unchanged . The mediastinal and hilar contours are stable with atherosclerotic calcifications noted at the aortic knob . Pulmonary vasculature is not engorged . Bronchial wall thickening and peribronchial opacities involving the lower lobes is re - demonstrated compatible with bronchiectasis and airways inflammation . Compared to the previous study , and there may be a slightly worse patchy opacities in both lower lobes . No large pleural effusion or pneumothorax is present . No acute osseous abnormality is demonstrated .
    OUTPUT:
    
Chronic bilateral lower lobe bronchiectasis with slight interval worsening of patchy opacities in both lower lobes which may suggest worsening chronic airways inflammation or infection .