Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are small bilateral pleural effusions . The lungs are otherwise clear . There is no consolidation or pneumothorax . Cardiac silhouette is top - normal in size . Left chest wall dual lead pacing device seen . Degenerative changes noted at the acromioclavicular joints bilaterally . No acute osseous abnormalities .
    OUTPUT:
    
Small bilateral pleural effusions . Otherwise no acute cardiopulmonary process .