Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Allowing for technical differences , the radiographic appearance is quite similar . Again seen is cardiomegaly , with sternotomy wires and T AVR . Also again seen is diffuse opacity throughout the right lung , probably alveolar , with scattered air bronchograms , and less pronounced opacity in the left lung , with a combination of vascular plethora and probable areas of alveolar opacity including scattered retrocardiac air bronchograms . No gross effusion .
    OUTPUT:
    
Allowing for technical differences , probably unchanged . Diffuse right greater the left opacities are similar to the prior film . As before , in the appropriate clinical setting , this could represent asymmetric pulmonary edema or alternatively infectious infiltrates or ARDS . Other etiologies for alveolar opacities are not excluded . Note is made that the appearance of the lungs has been relatively similar since at least ___ , also the date of the patient 's most recent chest CT .