Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of cardiac silhouette is re - demonstrated . The aorta remains tortuous . The mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Minimal blunting of the costophrenic sulci posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions . No focal consolidation or pneumothorax is present . There are moderate multilevel degenerative changes noted in the thoracic spine with unchanged mild compression deformities within 2 adjacent vertebral bodies in the mid thoracic spine resulting in kyphosis .
    OUTPUT:
    
Small bilateral pleural effusions .