Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multifocal bilateral heterogeneous lung opacities are again demonstrated , which were also evaluated on the recent CT dated ___ . As compared to the CT , there has been apparent interval worsening of opacities particularly in the right upper lobe , right middle lobe and lingula . The opacities have a peribronchovascular predominance with a lesser subpleural distribution . Associated bronchial dilation may reflect traction bronchiectasis or potentially reversible bronchial dilation . There is no significant pleural effusion or pneumothorax . Cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
Interval worsening of multifocal lung opacities since ___ . Diagnostic considerations include progression of presumed Cryptogenic Organizing Pneumonia , or superimposed acute infectious pneumonia .