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Pulmonary aeration is significantly increased bilaterally. There is marked bronchial wall thickening on the right and left in the peri-hilar zone extending to the lung base in keeping with inflammatory lower airways disease.There are non- segmental patchy lung opacities in the lower lobes bilaterally (right lower lobe posterior basal segment; left lower lobe anterior basal segment; right middle lobe medial segment). There is also increased interstitial markings with lower zone predominance.