Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior exam performed approximately nine hours earlier , there has been progression of the diffuse bilateral infiltrates with underlying nodules . This is most concerning for worsening infection . Underlying edema or hemorrhage remain a consideration . A denser opacity at the left base appears stable and likely relates to a known metastasis . Small bilateral pleural effusions are unchanged . There is no pneumothorax . The cardiomediastinal silhouette is stable .
    OUTPUT:
    
Rapid progression of bilateral nodular infiltrates is most likely due to infection . Other considerations include underlying edema or hemorrhage . The known scattered pulmonary metastases are not well evaluated . Results were discussed with Dr . ___ ( SICU resident ) at 10 :57 a .m . on ___ via telephone by Dr . ___ .