Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has hyperinflated lungs . There is new bilateral lower lobe bronchial wall thickening consistent with bronchial infection . Subtle right upper lobe subcentimeter nodular opacity adjacent to ___ anterior rib is new . There is no pleural effusion or pneumothorax . Mediastinal and cardiac contours are normal .
    OUTPUT:
    
1 . New bronchial wall thickening mostly in the lower lobes is concerning for acute bronchitis . 2 . New right upper lobe small nodular opacity is likely infectious or inflammatory , but a follow up standard PA and lateral chest x-ray before discharge is suggested . This was discussed with resident , ___ .