Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Left - sided subclavian line is no longer visualized . There is blunting of the posterior costophrenic angles suggestive of small effusion . Mildly indistinct pulmonary vascular markings are seen . There is no confluent consolidation . Cardiac silhouette is enlarged but stable in configuration . Tortuous descending thoracic aorta is noted . Degenerative change is seen at the shoulders bilaterally .
    OUTPUT:
    
Small bilateral effusions and mild interstitial edema without confluent consolidation .