Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear , without focal consolidation to suggest pneumonia . There is no pneumothorax . Trace unchanged bilateral pleural effusions are again noted . The cardiac silhouette is top normal . The mediastinum is unremarkable , with calcifications again seen in the aortic arch . Surgical ___ overlying the left neck have been removed . There is no evidence of free air underneath the diaphragm . The neoesophageal contour is again noted . There is bibasilar atelectasis .
    OUTPUT:
    
Unchanged , small bilateral pleural effusions . No evidence of free air or acute cardiopulmonary process .