Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bibasilar pleural effusions are noted , larger on the left than on the right . Elsewhere , the lungs are clear without consolidation , effusion or vascular congestion . The cardiomediastinal silhouette is within normal limits . Atherosclerotic calcification seen at the aortic arch . Hypertrophic changes noted in the spine
    OUTPUT:
    
Bilateral pleural effusions , left greater than right .