Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no interval change from the prior study . Again seen are widespread parenchymal opacities with a predominant reticulonodular pattern compatible with underlying metastatic disease with superimposed pulmonary edema which is mild to moderate in extent , but not changed . Persistent small to moderate right , and small left pleural effusions are again noted . There is no pneumothorax .
    OUTPUT:
    
No interval change compared to the study obtained approximately 2 hours previously .