Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear of consolidation . There are small bilateral pleural effusions . There is no evidence of pulmonary vascular congestion . Cardiomediastinal silhouette is within normal limits , noting atherosclerotic calcifications at the arch . Osseous and soft tissue structures are notable for posterior fixation hardware in the lumbar spine which is partially visualized .
    OUTPUT:
    
Small bilateral pleural effusions . Hyperinflation . Otherwise , unremarkable exam .