Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged . There is a small right pleural effusion and a small - to - moderate left pleural effusion . Calcified lymph nodes are seen in the right hilum . Otherwise , the hilar and mediastinal contours are normal . The lungs are well expanded and clear . There are no focal consolidations . There is no pneumothorax . A left - sided double - lumen dialysis catheter is seen with the tip in the right atrium .
    OUTPUT:
    
Small - to - moderate left pleural effusion and small right pleural effusion .