Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette and hilar contours are unchanged . Increased biapical reticulonodular opacities are again noted with possible bronchiectasis . There is no pleural effusion or pneumothorax . Significant deformity of the left humeral head is likely due to prior trauma .
    OUTPUT:
    
Biapical reticulonodular opacities with bronchiectasis , similar in appearance to recent prior examination . Consider CT scan for further evaluation given persistent imaging findings .