Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest was obtained . Large - bore right - sided central catheter terminates in the right atrium . Widespread heterogeneous opacification of both lungs is not appreciably changed since ___ , and represents a combination of pulmonary fibrosis , edema , and small bilateral effusions . No pneumothorax . Cardiomegaly , exaggerated by low lung volumes , remains moderate .
    OUTPUT:
    
No appreciable change in diffuse heterogeneous opacification of both lungs , representing combination of pulmonary fibrosis , edema , and effusions . No pneumothorax .