Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small pleural effusions are new since ___ . There is no consolidation or pneumothorax . Cardiomediastinal and hilar silhouettes are normal size . Right infusion port terminates at the cavoatrial junction . Surgical ___ in right hilar region and lung base are unchanged in position . Diffuse sclerotic changes of the bones are consistent with metastatic disease . Degenerative changes are noted in bilateral acromioclavicular joints .
    OUTPUT:
    
Small bilateral effusions new over five days . Lungs are clear .