Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , there has been progression of diffuse bilateral opacities . There is more pronounced confluence in the left upper lung and slight oblique greater areas of confluence of the right lung . As before , the right hemidiaphragm is elevated . The cardiac silhouette is obscured by the opacities more so than on the prior study . No gross left effusion . Doubt gross right effusion . Clips again seen in the right upper abdomen . Clips also noted adjacent to the left shoulder . Left - sided line overlies the mid SVC , similar prior .
    OUTPUT:
    
Worsening of diffuse interstitial and alveolar opacities , compared with ___ . The appearance is non-specific and could include inflammatory or infectious changes as well as pulmonary edema . Nonvisualization of gross pleural effusions makes pulmonary edema somewhat less likely . Cardiomediastinal contours are obscured by the infiltrates .