Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a very similar pattern of a dense widespread but somewhat heterogeneous opacification of each lung with a nodular pattern . Given opacification of the left costophrenic sulcus , a small pleural effusion is difficult to exclude on that side . There is no pneumothorax . The cardiac , mediastinal and hilar contours are also stable . A right internal jugular catheter again terminates at the cavoatrial junction . Spinal fusion hardware is incompletely characterized but unchanged .
    OUTPUT:
    
Similar persistent multifocal opacities throughout each lung with vague nodular morphologies . Differential considerations are broad but include widespread infection , including the possibility of septic emboli , versus developing respiratory distress syndrome , transfusion reaction , pulmonary edema , or hemorrhage . Chest CT may be helpful to assess further .