Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiograph is compared to radiograph dated ___ . There is a small left - sided pleural effusion and probably small right pleural effusion . Heart size is top - normal . No overt pulmonary edema . No focal opacity convincing for pneumonia is identified . There is no pneumothorax . Osseous structures demonstrates multilevel degenerative changes with mild anterior compression deformities throughout the thoracic spine , stable when compared to CT chest dated ___ . Widespread bone metastasis involving the ribs and sternum are better appreciated on aforementioned chest CT .
    OUTPUT:
    
Small left pleural effusion , probable right pleural effusion . Heart size top - normal . No focal opacity convincing for pneumonia .