Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph from ___ , there has been removal of the right arm PIC line . Again seen is severe bronchiectasis affecting the right middle and lower lobes as well as the left lower lobe . There maybe slight worsening of bronchiectasis in left lower lobe . In the right upper lobe , just above the minor fissure , an ill - defined patchy opacity persists which may represent infectious process . There is no pleural effusion or pneumothorax . Lungs remain hyperexpanded . Cardiomediastinal silhouette is unchanged . Osseous structures are intact . A right PICC line has been removed .
    OUTPUT:
    
1 . No significant change in severe bronchiectasis in the right middle and right lower lobes . Possible interval worsening in left lower lobe bronchiectasis . 2 . Stable ill - defined opacity in the right upper lobe may represent continuing infectious process . No new focal consolidation .