Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to 4 days prior , no appreciable change in the size of the moderate bilateral pleural effusions . Lungs are otherwise clear . Heart size and cardiomediastinal hilar silhouettes are unchanged . Multiple compression deformities throughout the visualized spine are unchanged . Markedly abnormal sternum contour is similarly unchanged .
    OUTPUT:
    
Unchanged moderate bilateral pleural effusions .