Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . There are new small bilateral pleural effusions . There is no pneumothorax . The lungs are again hyperinflated and clear with no focal consolidations concerning for pneumonia . Previously seen nodular density in the right apex is not appreciated on the current study .
    OUTPUT:
    
No radiographic findings concerning for pneumonia or malignancy .