Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small bilateral pleural effusions are unchanged from the prior study . No focal consolidation or pneumothorax is present . The pulmonary vasculature is prominent with fluid in the fissures . The cardiac silhouette is top normal in size . The mediastinal and hilar contours are unchanged . There are multiple pathological rib fractures and diffuse osseous sclerosis , unchanged . There has been interval placement of a nasogastric tube .
    OUTPUT:
    
Stable small bilateral pleural effusions . No focal consolidation .