Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Ill - defined opacities in the right middle lobe and lingula are new . Bronchial wall thickening in the right upper lobe has increased . No lobar consolidation . No pleural effusion or pneumothorax . Heart size is normal .
    OUTPUT:
    
Worsening , mild peribronchial opacities in the right upper middle , and lingula can represent mild bronchopneumonia or active bronchitis .