Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous PA and lateral films from ___ , portable chest x-ray from ___ and chest CT from ___ . Again seen are diffuse bilateral increased interstitial markings with bronchiectasis and bronchial wall thickening compatible with chronic underlying lung disease . Nodular opacities in the right mid and upper lung are again noted and although are more conspicuous on the current exam , likely have not demonstrated interval change given differences in technique . There is no large confluent consolidation or effusion . Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures .
    OUTPUT:
    
Diffuse bilateral changes compatible with known bronchiectasis and bronchial wall thickening . No definite superimposed acute process .