Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding portable AP single view chest examination of ___ . As before , there is borderline heart size . Considering that the patient has a marked chronic COPD and emphysema present the heart size suggests the possibility of some chronic CHF which can represent the presently existing small bilateral pleural effusions blunting the lateral pleural sinuses and extending in the depending posterior pleural space as noted on the lateral view . Comparison of the frontal views also suggests a diffusely present perivascular haze in the pulmonary circulation is more marked than it was on the previous study one week ago . There is no pneumothorax . Comparison with the previous study does not demonstrate any new discrete local pulmonary parenchymal infiltrate that may represent pneumonia . Similar as shown on previous examinations , there is status post distal left clavicular fracture and displacement .
    OUTPUT:
    
Bilateral moderate amount of pleural effusions probably related to chronic CHF . No pneumothorax . Comparison with the next previous portable chest examination , progression of CHF signs in the form of perivascular haze in the pulmonary circulation .