Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size may be slightly decreased compared to the prior exam but is still mildly enlarged . Bilateral small pleural effusions are overall unchanged . The lungs are clear . No focal consolidation , pulmonary edema , or pneumothorax . The thoracic aorta is calcified and ectatic . Mild dextroconvex scoliosis of the thoracic spine is unchanged .
    OUTPUT:
    
No interval change in bilateral small pleural effusions .