Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There are small bilateral effusions . The lung volume is again low , however unchanged from prior . There is no focal consolidation or pneumothorax . The cardiomediastinal silhouette is mildly enlarged , unchanged from prior . Patient is status post pacemaker placement . Severe kyphosis is seen with compression deformity of a lower thoracic vertebral body , unchanged from prior .
    OUTPUT:
    
Small bilateral effusions .