Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , the appearance is grossly unchanged . Again seen is tracheostomy tube and right subclavian and left IJ central lines , similar in appearance . No pneumothorax is detected , allowing for obscuration of the lung apex by the overlying mass . Again seen are diffuse interstitial and alveolar opacities throughout both lungs , with increased retrocardiac density and obscuration of both hemidiaphragms . Probable right and suspected left pleural effusions . The appearance is compatible with pulmonary edema and bi basilar effusions , but the possibility of an associated pneumonic infiltrate can not be excluded .
    OUTPUT:
    
Doubt significant change compared with ___ at 19 :36