Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette appears unchanged . The aorta is diffusely calcified and tortuous , as seen previously . The remainder of the mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Small bilateral pleural effusions are re- demonstrated , slightly larger on the right , not substantially changed in the interval , with bibasilar atelectasis . No new focal consolidation is present . No pneumothorax is present . There are moderate degenerative changes noted in the thoracic spine .
    OUTPUT:
    
Small bilateral pleural effusions , larger on the right with bibasilar atelectasis , not substantially changed in the interval .