Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in semi-upright position . Comparison is made with the next preceding similar study of ___ . The heart size remains unchanged and is within normal limits . Comparison of the portable chest examination demonstrates increased number of infiltrates in comparison with the previous study . The new infiltrates are present in the left lower lobe lateral area and scattered densities are also observed to have increased in the left upper lobe area . Similar right - sided basal infiltrates occupy now the cardiodiaphragmatic triangle on the right base . The pulmonary vasculature does not show increased congestive pattern and lateral pleural sinuses are free , thus excluding massive pleural effusion . No pneumothorax is present in the apical area .
    OUTPUT:
    
Increased widely spread bilateral pulmonary parenchymal processes since next preceding examination one day ago .