Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral pleural effusions with adjacent volume loss , greater on the left compared to the right . The heart and mediastinum are shifted left secondary to volume loss . The heart appears enlarged . Multiple bilateral anterior rib fractures and right clavicle fracture , most minimally displaced , are better seen on CT . No pneumothorax .
    OUTPUT:
    
1 . Moderate left pleural effusion and atelectasis and small right pleural effusion and atelectasis . 2 . Multiple bilateral anterior rib fractures and right clavicle fracture better seen on CT . No pneumothorax . 3 . Moderate cardiomegaly .