Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , diffuse , apex - to - base , heterogeneous , airspace opacification of both lungs has worsened . Many small round lucencies interspersed throughout the abnormality are likely due to emphysema , rather than cavitation , even though lung volumes are small . No change in small bilateral pleural effusions . Heart size , mediastinal and hilar contours are normal .
    OUTPUT:
    
1 . Severe , likely non-cardiogenic pulmonary edema or drug reaction , worsened overnight . Infection alone is not likely to have progressed in this fashion , and cardiogenic pulmonary edema is less likely in the absence of other radiographic evidence of cardiac decompensation . 2 . No change in small bilateral pleural effusions from ___ . Dr .___ discussed the findings over the telephone with a member of the patient 's care team on ___ at 1 :30 PM , within 15 minutes of observing the findings .