Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior studies , there has been significant interval increase in diffuse bilateral pulmonary opacities , right greater than left , with differential diagnosis including severe multifocal infection , aspiration , significant progression of pulmonary metastatic disease , lymphangitic carcinomatosis . Superimposed pulmonary edema is not excluded . The right costophrenic angle is not fully included on the image , but no large pleural effusion is seen . There is no pneumothorax . The cardiac and mediastinal silhouettes are unremarkable and stable .
    OUTPUT:
    
Significant interval increase in diffuse bilateral pulmonary opacities , right greater than left , with differential diagnosis including severe multifocal infection , aspiration , significant progression of metastatic disease , superimposed pulmonary edema not excluded . Right costophrenic angle not fully included on the image , but no large pleural effusion seen .