Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted are small right and moderate pleural effusions , not significantly changed since prior examination with associated atelectasis . No definite focal consolidation is identified ; there is bilateral apical scarring . There is stable hyperexpansion of the lungs . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
No significant change since comparison exam . Persistent bilateral pleural effusions left greater than right .