Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In the interval since the prior study , extensive bilateral airspace opacities have developed throughout both lungs . Differentials for this appearance would include acute pulmonary edema , ARDS or extensive multifocal pneumonia . Moderate right pleural effusion , probable small left pleural effusion . Left lower lobe atelectasis . Left internal jugular and subclavian catheter is terminating in the proximal and mid SVC respectively . A tracheostomy is in - situ .
    OUTPUT:
    
Interval development of extensive bilateral airspace opacity / consolidation .