Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube , left pectoral Infuse - A - Port , and NG tube are unchanged in position . Extensive bilateral airspace opacities are similar in extent to the most recent radiographs . Chronic right middle lobe atelectasis is unchanged . There is no pneumothorax . Small bilateral pleural effusions are unchanged .
    OUTPUT:
    
No significant interval change in the radiographic appearance of severe pulmonary hemorrhage , septic emboli , or drug reaction . The rapid change in the abnormality makes worsening metastasis unlikely .