Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs with dilated , thickened bronchi , worse centrally and in the bilateral upper lobes and the superior segment of the left lower lobe . These findings are consistent with chronic changes of cystic fibrosis . The cardiomediastinal and hilar contours are unremarkable . There is no superimposed pneumothorax , focal consolidation , or pleural effusion .
    OUTPUT:
    
Diffuse bronchiectasis consistent with chronic changes of cystic fibrosis . Comparison to prior radiographs would be useful to evaluate change from baseline .