Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright view of the chest demonstrates low lung volumes , which accentuate bronchovascular markings . Again seen is diffuse bronchial wall thickening , bronchial mucous impaction and bronchiectasis . There are superimposed somewhat confluent opacities in bilateral lung bases and right upper lobe , new since prior . There is no pleural effusion or pneumothorax . Mild perihilar vascular congestion is likely present . Hilar and mediastinal silhouettes are otherwise unchanged . Heart size is normal . Partially imaged upper abdomen is unremarkable .
    OUTPUT:
    
New multifocal airspace opacities superimposed on chronic diffuse bronchial wall thickening and bronchiectasis , concerning for multifocal infection . Atypical infection is a consideration given patient 's HIV status .