Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is blunting of the costophrenic sulci consistent with small effusions and possibly pleural thickening . The patient 's chin partially obscures the upper right lung and thoracic inlet . Bronchovascular markings are prominent . The lungs are otherwise clear . The heart appears enlarged . The aorta is calcified . Mediastinal structures are stable . There are degenerative changes in the spine . A right shoulder prosthesis remains in place .
    OUTPUT:
    
Small bilateral pleural effusions . Cardiomegaly .