Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP semi-upright view of the chest was reviewed . When compared to the prior study , there has been interval increase of diffuse bilateral pulmonary opacifications that are worse on the right . Opacifications obscure the cardiac and mediastinal contours that are otherwise normal . The costophrenic angles are clear and there is no pneumothorax . The soft tissues and bones are unchanged .
    OUTPUT:
    
Interval worsening of diffuse bilateral pulmonary opacifications consistent with the clinical diagnosis of pneumonia . Considering the extent of the disease , pneumonia with a component of ARDS has to be considered .