Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate left - sided pleural effusion is again noted with adjacent atelectasis . There is a tiny right pleural effusion as well . Elsewhere the lungs are clear . There is no edema . Cardiac silhouette is mildly enlarged as on prior . No acute osseous abnormalities .
    OUTPUT:
    
Moderate left and small right pleural effusions .