Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is a stable . A small bilateral effusions have increased from prior study . There is no pneumothorax . Biapical pleural - parenchymal scarring is noted . The lungs are hyperinflated . There is kyphosis .
    OUTPUT:
    
No evidence of pneumonia . Bilateral effusions