Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta remains tortuous . The lungs are hyperinflated with flattening of the diaphragms and increased retrosternal sternal clear space compatible with emphysema . Blebs are noted at the right lung apex . There is no pulmonary vascular congestion . Coarse interstitial opacities with bronchial wall thickening and ill - defined nodular opacities are demonstrated diffusely within the lungs , but appear slightly more progressed particularly in the right lung base . No pleural effusion or pneumothorax is identified . There are no acute osseous abnormalities . Multiple clips are seen within the right upper quadrant of the abdomen .
    OUTPUT:
    
Diffuse interstitial opacities with bronchial wall thickening and nodularity likely reflective of diffuse bronchiectasis and chronic inflammatory or infectious small airways disease , which appears more progressed in the right lung base .