Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . There are small bilateral pleural effusions with associated atelectasis . There is mild interstitial pulmonary edema . There are emphysematous changes consistent with COPD . There is no focal parenchymal opacity concerning for pneumonia . There is enlargement of the pulmonary arteries consistent with pulmonary hypertension . Old left rib fractures are seen . No pneumothorax .
    OUTPUT:
    
1 . Small bilateral pleural effusions , right greater than left , with adjacent atelectasis and mild interstitial edema . 2 . No evidence of pneumonia . 3 . Enlarged pulmonary arteries , likely from pulmonary hypertension . 4 . Emphysematous changes .