Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small pleural effusion on the right and a suspected very small pleural effusion on the left side . The heart is at the upper limits of normal size . The aorta is moderately tortuous and calcified . The main pulmonary artery contour is again slightly prominent . The lungs appear clear . Small anterior osteophytes along the upper to mid thoracic spine appear similar .
    OUTPUT:
    
Small pleural effusions .