Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation . There are small bilateral pleural effusions seen best on the lateral view . No pneumothorax identified . The size the cardiomediastinal silhouette is within normal limits . Degenerative changes of both acromioclavicular joints .
    OUTPUT:
    
Small bilateral pleural effusions . No focal consolidation identified .