Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded , with worsening bibasilar opacities and bronchiectasis , compared to the prior study . There is no pneumothorax , or overt pulmonary edema . The heart size is normal .
    OUTPUT:
    
Bibasilar opacities and bronchiectasis has worsened , and is worrisome for developing pneumonia or aspiration .