Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top normal . Right - sided PIC line terminates in the mid SVC . Overall , there has been an interval increase in the diffuse perihilar and bibasilar opacities , compared to the prior exam . There is no evidence of pulmonary vascular engorgement . Small bilateral pleural effusions with mild adjacent compressive atelectasis is unchanged . Metallic hardware along the cervical spine is intact without evidence of a fracture .
    OUTPUT:
    
Interval increase in diffuse perihilar and bibasilar opacities , is concerning for progressive pneumonia or possibly pulmonary hemorrhage . ___ were d / w Dr . ___ at 7 : ___a by telephone by Dr . ___ on the day of the exam .