Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are small bilateral effusions , larger on the right than on the left . There is no focal consolidation or overt pulmonary edema . Moderate cardiomegaly is noted . There is no pneumothorax . No acute osseous abnormality is identified , hypertrophic changes noted in the spine .
    OUTPUT:
    
Cardiomegaly and small bilateral effusions . No focal consolidation .