Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . Moderate pleural effusion is similar to prior radiograph . The lateral view also shows a small right effusion . There is no pneumothorax . The heart size is normal . Diffuse sclerotic osseous metastases are most visible in the proximal humeri , clavicles and right scapula .
    OUTPUT:
    
Moderate left and small right pleural effusions . Underlying consolidation can not be excluded .