IMPRESSION:
As compared to the recent radiograph of , bilateral diffuse
 airspace opacities have a more symmetrical distribution, but remain worse on
 the right than the left.  Overall, the extent of airspace disease has improved
 in the right mid and lower lung but substantially worsened in the left
 perihilar and basilar regions.  Moderate layering right pleural effusion and
 small left pleural effusion are also noted.