Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly can not be assessed . Small to moderate right and moderate to large left pleural effusions are associated with adjacent atelectasis . The lungs are hyperinflated . There is no pulmonary edema or pneumothorax . Biapical pleural thickening is unchanged . Enlargement of the pulmonary arteries is again noted . There is kyphosis and several compression fractures in the thoracic spine
    OUTPUT:
    
Bilateral pleural effusions associated with adjacent atelectasis . No pulmonary edema . COPD