Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . The lungs are clear without any focal consolidation or pneumothorax . There are small bilateral pleural effusions . Again seen are bilateral degenerative changes of the AC and glenohumeral joints .
    OUTPUT:
    
No new focal consolidations suggestive of pneumonia .