Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . The lungs remain hyperinflated . No focal consolidation , edema , or pneumothorax . Bilateral pleural effusions are small . The heart is normal in size . Retrocardiac opacity on the right is consistent with neo esophagus . No acute osseous abnormality .
    OUTPUT:
    
Small bilateral pleural effusions are unchanged . No evidence of pneumonia .