Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral pleural effusions , right greater than left . There is no focal consolidation or pulmonary edema . Old posterior right rib fractures , right proximal humeral and distal right clavicle fractures are noted . Hypertrophic changes are noted in the spine . TIPS identified in the upper abdomen .
    OUTPUT:
    
Bilateral pleural effusions , right greater than left .