Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant change in the persistent , bilateral patchy opacities with air bronchograms , which can be in seen in the setting of ARDS and multifocal pneumonia . Persistent bilateral pleural effusions , perhaps slightly increased in the interim . No pneumothorax . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
1 . Overall unchanged bilateral , patchy airspace opacities consistent with ARDS or multifocal pneumonia . 2 . Slight interval increase in bilateral pleural effusions .