Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are unchanged . Lungs are hyperinflated with coarse diffuse interstitial opacities and bronchiectasis noted bilaterally , concerning for chronic ___ infection as seen on the previous chest CT , and slightly progressed since the prior chest radiograph . Additionally , a fiducial marker is noted within a spiculated opacity in the right lower lobe , which overall has increased in size compared to the previous study now measuring approximately 4 .7 x 3 .7 cm , previously 2 .6 x 2 .3 cm on the prior chest radiograph . There is mild volume loss in the right lung with a probable trace right pleural effusion . There is no pulmonary edema or pneumothorax . Scarring is seen within the lung apices , more pronounced on the right . The osseous structures are diffusely demineralized .
    OUTPUT:
    
1 . Interval increase in size of right lower lobe spiculated opacity containing a fiducial marker , which previously was characterize as concerning for malignancy . 2 . Diffuse coarse interstitial opacities , slightly progressed from the prior chest radiograph , reflective of bronchiectasis , airways disease , and likely chronic ___ infection . 3 . Small right pleural effusion .