Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overall , there is little change in comparison to the prior study . The lungs are hyperinflated . Again seen is diffuse bronchiectasis , bronchial wall thickening and scattered interstitial opacities . The cardiac silhouette is mildly enlarged but stable . No acute fractures identified .
    OUTPUT:
    
Widespread bronchiectasis and bronchial wall thickening . A superimposed infection is difficult to exclude and CT may be helpful if warranted clinically .