Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild bronchial wall thickening is new from prior studies in suggests bronchitis or small airways disease , particularly in the setting of moderate hyperinflation . Prominence of the right lower lobe vasculature is similar to multiple prior studies . There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette , including severe cardiomegaly and a left pectoral dual - chamber pacemaker , is unchanged .
    OUTPUT:
    
1 . Bronchial wall thickening suggesting bronchitis or small airways disease with associated hyperinflation . 2 . No focal consolidation . 3 . Unchanged severe cardiomegaly .