Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , the overall appearance is similar . Again seen are extensive opacities throughout both lungs , with a somewhat nodular configuration , but with extensive confluence . The configuration the be subtly different compared with the earlier study , with slight lead more aeration visible at the right lung base particularly laterally . No pneumothorax is detected . These opacities obscure the cardiac silhouette . The trachea and carina remain midline . Lung volumes are low . Possible minimal blunting of left costophrenic angle again seen of the left hemidiaphragm is slightly tented . Sutures overlying the left lung base are again noted . Right upper quadrant surgical clips incidentally noted .
    OUTPUT:
    
Extensive nodular opacities in both lungs , grossly similar to ___ .