Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to previous examination yesterday , there is again massive progression of the diffuse , generalized pulmonary opacities with consolidations and air bronchograms throughout all lung regions . No pleural effusion or pneumothorax .
    OUTPUT:
    
The distribution of the changes and the absence of pleural effusions is strongly suggestive of ARDS .