Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again visualize or bilateral pleural effusions , small on the right , and moderate on the left . Known right upper lobe nodules are not well seen on this study . Bilateral apical lateral parenchymal scarring is again noted . The lungs are otherwise clear . Cardiac and mediastinal silhouettes are stable . No acute fractures are identified .
    OUTPUT:
    
Again noted are bilateral pleural effusions , small on the right , moderate as seen on dedicated chest CT from ___ .