Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left PICC is barely visible but appears to be terminate in the low SVC . There is mild cardiomegaly . Hyperexpansion and diaphragmatic flattening suggests emphysema . Surgical clips are overlying the upper abdomen . There is no focal consolidation or pneumothorax . There are small bilateral pleural effusions . There is no pulmonary vascular congestion .
    OUTPUT:
    
No evidence of pneumonia . Small bilateral pleural effusions .