Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Blunting of the left CP angle again noted consistent with a small left pleural effusion . A tiny right pleural effusion is also suspected . Lungs are hyperinflated with coarsened interstitial markings reflecting known severe emphysema . No overt signs of edema or pneumonia . Cardiomediastinal silhouette is unchanged . Imaged bony structures appear intact .
    OUTPUT:
    
Severe emphysema with small bilateral pleural effusions .