Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is a stable . The pulmonary arteries appear enlarged . Bilateral effusions are small , associated with adjacent atelectasis . There is no evident pneumothorax . There are moderate degenerative changes in the thoracic spine . The lungs are hyperinflated
    OUTPUT:
    
Cardiomegaly . Small bilateral pleural effusions with adjacent atelectasis in . Enlarged pulmonary arteries . Probably COPD