IMPRESSION:
Widespread bronchiectasis and peribronchial infiltrative abnormalities,
 generally improved in the upper lungs, worsened in the right lower lobe.
 Cardiomediastinal and hilar silhouettes are normal and there is no evidence
 pleural effusion.
 
 RECOMMENDATION(S):  Monitoring with chest CT is more reliable for focal
 findings, but plain radiography is sufficient for overall progression of
 disease is and new developments.
                                                                       

         , MD