Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new right middle lobe collapse . There is volume loss at right and left lower lobes . Bronchiectatic changes at the lung bases are noted , less conspicuous due to the right middle lobe collapse . Cardiac silhouette is obscured but appear grossly unchanged .
    OUTPUT:
    
There is new right middle lobe collapse . Chronic bronchiectatic changes at lung bases are again noted .