Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are opacities within the bilateral lower lobes , likely combination of increasing pleural effusions , atelectasis and edema , which are grossly unchanged from prior study . Diffuse bilateral extensive consolidations are also unchanged . Stable cardiomegaly . Lines and tubes remain in unchanged standard position .
    OUTPUT:
    
Grossly unchanged appearance of diffuse bilateral extensive consolidations , likely a combination of pleural effusions , atelectasis and edema .