Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is borderline enlarged with a relatively rounded contour . There is moderate unfolding of the thoracic aorta . The aortic arch appears calcified . The mediastinal and hilar contours are unremarkable within the limitations of technique . There are small pleural effusions , probably greater on the left than right , with patchy lower lung opacities likely attributable to associated atelectasis . There is no pneumothorax . Moderate - to - severe leftward convex curvature is centered along the lower thoracic spine .
    OUTPUT:
    
Borderline cardiomegaly and small pleural effusions , although without frank congestive heart failure . Patchy lower lung opacities are not entirely specific , but are compatible with atelectasis associated with pleural effusions . Although there is no specific indication for pericardial effusion , the rounded appearance of the cardiac contour could potentially be seen with a pericardial effusion if that is a clinical concern .