Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unchanged . Lungs are hyperinflated . Focal lingular bronchiectasis is re - demonstrated with increased patchy lingular opacity which may reflect airways disease / infection . Right lung is clear . Pulmonary vasculature is not engorged . No pleural effusion or pneumothorax is present . Mild to moderate degenerative changes are again seen in the imaged thoracolumbar spine with similar loss of height of an upper lumbar vertebral body .
    OUTPUT:
    
Focal lingular bronchiectasis with patchy lingular opacity which may reflect airways disease / infection .