Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and there are bilateral pleural effusions , larger on the right . Superiorly , the lungs are clear . There is no definite consolidation or pulmonary edema . Moderate cardiac enlargement is unchanged . Atherosclerotic calcifications are noted at the aortic arch . No acute osseous abnormalities , hypertrophic changes are noted in the spine .
    OUTPUT:
    
Hyperinflation , cardiomegaly , and moderate right and small left pleural effusions .