Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged appearance of the thorax , specifically , no pneumothorax . Skin fold projects over the left hemithorax . No focal opacification concerning for pneumonia identified . Small bilateral effusions evident . No pneumothorax . Within limitations of rotation and severe kyphosis , the cardiomediastinal and hilar contours are unremarkable . Nasogastric tube positioning is stable . Stable posterior and anterior fusion hardware of the cervicothoracic spine .
    OUTPUT:
    
No pneumonia . Small bilateral pleural effusions .