Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The mediastinal and hilar contours unremarkable . Calcified granulomas are noted within the left upper lung field . No focal consolidation or pneumothorax is present . The pulmonary vascularity is not engorged . There are small bilateral pleural effusions , best seen on the lateral view . No acute osseous abnormalities demonstrated .
    OUTPUT:
    
Small bilateral pleural effusions . Please note that Chest CTA is recommended if there is a concern for pulmonary embolism .