Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with relative lucency at the bilateral lung apices suggestive of COPD / emphysema . There has been interval development of small bilateral pleural effusions from ___ . Streaky opacities in the bilateral bases most likely reflect atelectasis . No focal consolidation or pneumothorax is detected . The pulmonary vasculature is not engorged and there is no overt pulmonary edema . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits and unchanged from the prior study .
    OUTPUT:
    
1 . Interval development of small bilateral pleural effusions from ___ . 2 . Stable findings of COPD / emphysema .