Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a right IJ catheter with tip overlying the right atrium . As before , the cardiomediastinal silhouette is enlarged . Compared with the prior study , there is much more pronounced hazy confluent opacity in both lungs , consistent with alveolar opacities , with air bronchograms noted . There is new obscuration of the right and left costophrenic angles consistent with right - greater - than - left layering pleural effusions . There is probable underlying bibasilar collapse and / or consolidation .
    OUTPUT:
    
Rapid evolution of diffuse bilateral confluent opacities with air bronchograms , consistent with an alveolar process . Given time course , this most likely represents pulmonary edema . Probable small right greater left effusions with underlying collapse and / or consolidation . Cardiomegaly again noted .