Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Low lung volumes . Two calcified granulomas in the left lung are unchanged . No focal consolidation or pneumothorax . There are small bilateral pleural effusions . Cardiomediastinal and hilar contours are stable . Degenerative changes are again seen in the spine .
    OUTPUT:
    
Small bilateral pleural effusions .