Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Of note , there is a mislabeling of the PA image with the side being marked as " left " actually being the right side of the patient . PA and lateral images of the chest demonstrate expanded lungs . There is significant interval increase in the opacity of the perihilar areas and the mid lung zones with associated enlarged vascular diameter , peribronchial cuffing , and a fluid - marked major fissure best seen on the lateral image . These findings are consistent with an acute pulmonary edema , infection , or both . No pleural effusions are seen . The cardiomediastinal silhouette is unremarkable . The dense opacity overlying the right heart and spine on PA view is radiopaque cement from a vertebroplasty and does not require followup .
    OUTPUT:
    
Significant interval increase in opacity of perihilar and mid lung areas bilaterally , concerning for pulmonary edema , infection , or both . The medical team was paged at 11 :55 to communicate these findings .