There is a large volume loss with an interval increase in the prominence of the pulmonary vasculature, consistent with increasing pulmonary edema. Patchy multifocal airspace opacities are present bilaterally, with less discrete visualization of nodular opacities corresponding to the known septic embolic/infectious foci seen on the recent CT.
Air space opacity–multifocal (Present) Nodule/Solitary lung nodule (Uncertain) Edema (Present)