Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been further increase in the bilateral but left side predominant airspace opacities . Unchanged right apical bullous disease without a discrete pneumothorax A suspected trace left pleural effusion is present with adjacent atelectasis . The size and appearance of the cardiomediastinal silhouette is unchanged . Multiple bilateral rib fractures of varying ages are present . A healing fracture of the distal right clavicle is also noted .
    OUTPUT:
    
Interval increase in the extent of the nonspecific bilateral airspace opacities , which could be seen in setting of aspiration pneumonitis / pneumonia or pulmonary edema .