Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size remains mildly enlarged . The aorta demonstrates mild tortuosity and calcifications at the aortic knob . The lungs are hyperinflated with emphysematous changes again noted . Patchy bibasilar airspace opacities persist , with continued bronchial wall thickening noted diffusely . No new areas of consolidation are present . There is no pleural effusion or pneumothorax . Remote right - sided rib fractures are again seen .
    OUTPUT:
    
Similar appearance of the chest with bibasilar patchy airspace opacities and diffuse bronchial wall thickening suggestive of diffuse bronchiolitis and possible aspiration or infection at the lung bases .