Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Support lines and tubes are unchanged in appearance when compared to the prior study . There are persistent multifocal airspace opacities throughout both lungs total relative sparing of the left apex . In addition there are ring shadows and tram - tracking suggests of bronchiectasis , consistent with the patient 's known history of cystic fibrosis . No definite pleural effusions . No pneumothorax seen .
    OUTPUT:
    
Unchanged appearances of multifocal airspace opacities consistent with a multifocal pneumonia . Background changes of bronchiectasis .