FINDINGS:
Extensive bilateral rounded airspace opacities may represent multifocal
 pneumonia, however widespread metastatic disease and septic emboli can have a
 similar appearance.  Dedicated chest CT is recommended.  There is no pleural
 effusion, pneumothorax, or pulmonary edema.  The cardiomediastinal silhouette
 is within normal limits.

IMPRESSION:
Widespread rounded airspace opacities may represent multifocal pneumonia,
 however widespread metastatic disease and septic emboli can have a similar
 appearance and dedicated contrast-enhanced chest CT is recommended for further
 evaluation.
 
 RECOMMENDATION(S):  Dedicated chest CT with contrast is recommended.