Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . In addition to basal bronchial wall thickening , possibly bronchiectasis , there is the suggestion of developing peribronchial inflammation in the right mid lung . The aortic knob is newly obscured , perhaps by new mediastinal adenopathy , aortic dissection or consolidation in the adjacent lung . Nipple shadows are prominent and asymmetrically placed , perhaps due to chest wall underdevelopment associated with the hypoplastic right humerus .
    OUTPUT:
    
Uncertain findings regarding pneumonia , bronchiectasis , and possible aortic dissection or aggressive mediastinal adenopathy warrant prompt CT scanning .