Cardiomegaly with a cardiothoracic ratio of 16:27.

The lungs are hyperinflated and show extensive bilateral ring shadows consistent with bronchiectasis. Bibasal linear opacities are in keeping with atelectasis. Upper zone scarring is likely a result of previous TB.  

Bilateral old rib fractures.  

No pulmonary thromboembolism.

There is severe cystic bronchiectasis, most prominent within the right middle lobe and in the lower lobes bilaterally.  There is some mucus plugging within some of the bronchiectatic bronchi in the lower lobe lobes.  

There is some apical fibrous scarring related to the prior TB.  Multiple areas of scarring are also noted at the lung bases bilaterally. There are air-fluid levels in several of the larger bronchi but no evidence of a mycetoma.  No suspicious pulmonary mass lesion is identified.  

There is a mosaic attenuation pattern with ground-glass opacity predominantly in the right upper lobe.  These changes are likely secondary to gas trapping and superimposed infection.

Multiple healed bilateral posterior rib fractures and there is a kyphosis, with mild anterior wedging of several mid thoracic vertebrae.    Incidental hepatic cysts.

Opinion:

Severe cystic bronchiectasis.   No pulmonary thromboembolism.  Ground glass opacity in the right upper lobe is in probably in keeping with acute infection.