Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . Diffuse coarsening of the pulmonary markings is increased . On CT from ___ , the patient was noted to havebronchial wall thickening , mucoid impaction and areas of bronchiectasis , which appear increased / worsened on the current study . Around left base retrocardiac opacity could relate to atelectasis although underlying consolidation is not excluded . Additionally , there is a rounded opacification projecting over the right lung base at the level of the anterior right first rib which could relate to the first rib or could be an additional source of underlying consolidation . There is also increased bronchiectatic opacity projecting over the cardiac silhouette on the lateral view . No pleural effusion or pneumothorax is seen . There is persistent left apical thickening .
    OUTPUT:
    
1 . Interval worsening of diffuse coarse and fibrotic pulmonary markings which could be due to worsening of bronchiectasis and mucus impaction , although overlying infection and possible mild volume overload may be present . Additionally , small rounded of focal opacification in the left retrocardiac region and in the right lung apex are nonspecific , could be due to atelectasis / scarring , although foci of infection is present .