Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal contour is unremarkable . Lungs are hyperinflated with evidence of severe emphysema , most pronounced in the right lung base . Superior hilar retraction with biapical scarring , architectural distortion , and calcified granulomas are compatible with prior tuberculosis infection . Diffuse bronchiectasis with airway wall thickening and ill - defined nodular opacities are compatible with the airways inflammation and / or infection , similar compared to the previous exam . No new areas of focal consolidation are definitively noted . There is no pulmonary edema , pleural effusion or pneumothorax . No acute osseous abnormalities are demonstrated .
    OUTPUT:
    
Findings compatible with prior tuberculosis infection and diffuse bronchiectasis with evidence of airways inflammation or infection . Severe emphysema . No new areas of focal consolidation demonstrated .