Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The patient is status post right thyroidectomy with superior mediastinal surgical clips and mediastinal wires noted . The aorta remains tortuous . Pulmonary vascularity is normal . No focal consolidation , pleural effusion or pneumothorax is present . Patchy and streaky bibasilar opacities in within both lower lobes persist , with associated tram - tracking suggestive of bronchial wall thickening . There are no acute osseous abnormalities .
    OUTPUT:
    
Persistent bilateral lower lobe streaky and patchy opacities suggestive of infection or aspiration with continued associated bronchial wall thickening .