Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 views were obtained of the chest . The lungs are somewhat hyperexpanded with increased AP diameter of the thorax which can be seen in chronic obstructive pulmonary disease . Small left - sided pleural effusion is noted with perhaps trace right effusion . These were present on prior T - spine CT from ___ . Pleural fluid may also be present along the left major fissure . Bilateral hilar calcified lymph nodes along with right apical calcified nodule are consistent with prior granulomatous disease . The heart is intervally enlarged with otherwise normal mediastinal contours and mild vascular congestion without overt edema . Near complete collapse of the T11 vertebral body is noted with post vertebroplasty changes .
    OUTPUT:
    
Small left and trace right pleural effusions .