Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . Heart size is normal . Mediastinal and hilar contours are unchanged . Widespread bronchiectasis with diffuse bronchial wall thickening and interstitial abnormality appears relatively similar compared to the prior exams . No pulmonary vascular congestion is noted . No new focal opacity , pleural effusion or pneumothorax is identified . No acute osseous abnormality seen .
    OUTPUT:
    
Widespread chronic bronchiectasis without new focal consolidative opacity . Atypical superimposed infection however can not be excluded on this exam .