Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen and slightly progressed are bilateral diffuse heterogeneous alveolar infiltrates these could be due to infection , atypical pulmonary edema , or ARDS . Also of note are multiple distended loops of bowel in the abdomen . Most of these are felt to be colon and measure up to 8 .7 cm
    OUTPUT:
    
Progression of multifocal pulmonary disease . Severe ileus