Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is unchanged with Cardiac size is top normal and stable appearance of the mediastinal and hilar contours . The upper lungs are clear . There is no pneumothorax . Small bilateral pleural effusions are associated with minimal adjacent atelectasis . There are moderate degenerative changes in the thoracic spine
    OUTPUT:
    
Small bilateral effusions with adjacent atelectasis Stable cardiomediastinal silhouette .