Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate interval increase in diffuse bilateral heterogeneous opacities with air bronchograms and focal increased opacity in the right lower lobe . Heart size , mediastinal contour are obscured by the pleural parenchymal process . No pneumothorax or large pleural effusion . No bony abnormality .
    OUTPUT:
    
1 . Worsening diffuse pulmonary opacities , which appear to wax and wane on serial radiographs , most likely due to pulmonary edema . Consider followup chest radiographs to assess for clearing status post diuresis . 2 . Focal right lower lobe opacity may be related to history of aspiration pneumonia . Results conveyed to the primary team by Dr . ___ on ___ at 1 : 20 p .m . within five minutes of observation of findings .