Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased interstitial markings in both lower lung fields are consistent with known bibasilar bronchiectasis . However , a new ill - defined focal opacity is noted in the right lower lung region , which is seen projecting over the heart shadow in the lateral view . Cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax . Old right rib fractures are noted .
    OUTPUT:
    
Findings concerning for right middle lobe pneumonia superimposed on chronic disease . Follow up to resolution is recommended .