Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe scoliosis seen again with asymmetry of the rib cage . Bilateral small pleural effusions . No vascular congestion and no pulmonary edema . Left lower lobe consolidation is unchanged . Cardiac size is normal . No pneumothorax . Small hiatal hernia noted .
    OUTPUT:
    
Bilateral small pleural effusions but no evidence of vascular congestion or pulmonary edema . Unchanged left lower lobe consolidation Severe scoliosis . Small hiatal hernia