Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are severely hyperinflated with flattened diaphragm , is due to emphysema or small airway obstruction . Nodular opacities and rounded lucency , right worse than left , are due to severe bronchiectasis and mucoid impaction , which was demonstrated on chest CT from ___ . Consolidation in the lingula has either recurred or incompletely cleared . Upon further evaluation of prior CT from ___ , there is a nodular right paraspinal opacity which may be resolving previously seen masslike consolidation of the right lower lobe or a small mass obscured nodule by the since resolved consolidation . Evaluation of this right paraspinal nodularity on current radiograph is not possible . Heart size is top - normal . Trachea displaced at the thoracic inlet , by a thyroid nodule that was previously seen on CT . There is no evidence for pneumothorax , pleural effusion or pulmonary edema . Opacity in the mid thoracic vertebra is likely a bone island , unchanged from prior radiograph .
    OUTPUT:
    
1 . Persistent consolidation in lingula , which may be new or recurrent atelectasis or organized pneumonia . 2 . Severe bronchiectasis and nodular opacities appear stable since ___ , but worse since ___ . Given the combination of severe bronchiectasis and emphysema , active suppurative bronchiectasis due to non-tuberculous mycobacterial infection or alpha 1 trypsin deficiency should be considered , if not already investigated . 3 . Repeat chest CT upon resolution of acute symptoms is recommended for further evaluation of right paraspinal opacity seen on CT from ___ . 4 . Displaced trachea likely from thyroid nodule seen on prior CT .