Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Necrotizing bronchiectasis appears more extensive in the right upper lung overlying the first rib through the second anterior interspace . There is no pleural effusion . The cardiomediastinal silhouette is normal . Other lung findings on prior Chest CT scans have not been evident on conventional chest radiographs , and the lungs elsewhere still look relatively clear .
    OUTPUT:
    
Necrotizing bronchiectasis ( read in conjunction with CT dated ___ ) appears more active .