Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is elevation of the right hemidiaphragm , with fissural fluid seen on the lateral view , which likely represents a subpulmonic pleural effusion , that is not significantly changed in comparison to the prior chest radiograph . There are multiple bilateral ill - defined patchy opacities , mostly in the upper lung fields . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Bilateral ill - defined patchy opacities , which may represent asymmetric pulmonary edema , but is also concerning for multifocal pneumonia . 2 . Unchanged right subpulmonic pleural effusion .