Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is no focal consolidation or pneumothorax . Small bilateral pleural effusions have increased from ___ . Pulmonary edema has resolved . Heart size is top normal . Cardiac pacemaker leads are unchanged in position . Mediastinal silhouette and hilar contours are normal aside from unchanged mild aortic tortuosity . Degenerative change in the thoracic spine is similar to the prior study .
    OUTPUT:
    
Small bilateral pleural effusions , increased from ___ . No pneumonia or edema .