Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Focal opacity in the left upper lobe with associated bronchiectasis is unchanged from the previous examination . Streaky opacity within the right middle lobe correlates with areas of mucous plugging and small airways infection as seen on the previous study . No new areas of focal consolidation are demonstrated . Other previously described nodular opacities noted diffusely within the lungs are better seen on the prior CT . No pleural effusion or pneumothorax is identified . The lungs are hyperinflated . No acute osseous abnormalities visualized .
    OUTPUT:
    
No substantial interval change compared to the previous CT . Unchanged focal area of opacification in the left upper lobe with bronchiectasis and streaky , patchy opacity in the right middle lobe which appears to correspond to the areas of mucous plugging with small airways infection on CT . Other previously described widespread nodular opacities concerning for infection are better visualized on the CT .