Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral upright views of the chest were reviewed and compared to the prior studies . New small right pleural effusion and a new small to moderate left pleural effusion . Lung volumes are low and there is bibasilar atelectasis ; otherwise , the lungs are clear without pulmonary edema or pneumothorax . There are aortic calcifications and the heart size is top normal . Degenerative changes in the spine are unchanged .
    OUTPUT:
    
New small right pleural effusion and new small to moderate left pleural effusion .