Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior right PICC is no longer seen . There are small bilateral pleural effusions . Low lung volumes are seen with crowding of the bronchovascular markings however there is no superimposed consolidation . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes noted in the spine . Multiple presumably biliary stents are identified as well as surgical clips in the abdomen .
    OUTPUT:
    
Small bilateral pleural effusions . No superimposed consolidation .