Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small bilateral pleural effusions are increased in size compared to most recent prior exam . There is no focal consolidation . The lungs are hyperinflated with emphysematous changes as seen on prior CT . Heart size is increased , similar compared to prior .
    OUTPUT:
    
1 . Increased small bilateral pleural effusions . 2 . Cardiomegaly . 3 . Hyperinflated lungs corresponding with known emphysema . These findings were discussed with Dr . ___ by Dr . ___ by telephone at 10 :32 a .m . on ___ .