There are bilateral predominantly central and upper lobes with lesser extent lower cylindrical bronchiectasis with bronchial wall thickening and mucoid impaction more on the right side.
Peribronchial interstitial thickening is noted.
Diffuse centrilobular nodular opacities are noted suggestive of acute infectious bronchiolitis.
Few peripheral subpleural nodules are noted.
No effusion. No pneumothorax.
Multiple mediastinal and bilateral hilar lymphadenopathy, the largest measures about 3x2 cm seen in the pre-vascular group.
In the visualized part of the upper abdomen:
Focal hepatic steatosis is noted involving the segment IV.
The pancreas shows complete fatty replacement.
Features are in favor of cystic fibrosis with bronchiolitis.