Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are persistent bilateral pleural effusions , small on the right and small to moderate on the left , similar to prior . There is no visualized pneumothorax . Diffuse sclerotic metastases limits evaluation of the underlying parenchyma . The cardiomediastinal silhouette is within normal limits . Diffuse sclerotic metastases are seen throughout the bones .
    OUTPUT:
    
Small right and moderate left pleural effusions .