Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . Again seen are coarse reticular opacities involving the majority of the right lung , which appear increased from the prior examination and are concerning for worsening lymphangitic spread of malignancy . An opacity at the base of the right lung also appears increased from the prior study which may worsening consolidation , mass or atelectasis . Also seen is a subtle increase in the reticular opacities throughout the mid and lower zones of the left lung . There is no evidence of pneumothorax . The right - sided effusion has slightly increased since prior . There is no left pleural effusion .
    OUTPUT:
    
Coarse reticular opacities involving the majority of the right lung and the lower portion of the left lung appears slightly increased from the prior study and are concerning for worsening lymphangitic spread of malignancy , edema also possible . Additionally , the right basal opacity is increased from the prior study which may represent combination of infectious consolidation , enlarging mass or atelectasis . Right - sided pleural effusion has increased in size .