Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There small bilateral pleural effusions , larger on the left than on the right and increased since prior . There is no focal consolidation or overt pulmonary edema . There is no pneumothorax . Lungs are hyperinflated . Cardiac silhouette is enlarged but stable . Atherosclerotic calcifications are seen at the arch . There is a new displaced fracture of the distal left clavicle with significant displacement , new since ___ , potentially recent . Left lateral third fourth and potentially fifth rib fractures are new since ___ , to be correlated clinically . Chronic right posterior rib fractures are noted . Right shoulder arthroplasty is seen .
    OUTPUT:
    
Left lateral third , fourth , and potentially fifth rib fractures which appear displaced and are new since ___ , age indeterminate and to be correlated clinically . Distal left clavicular fracture is also new since that exam and could be recent given lack of significant callus formation . These findings are to be correlated clinically . Bilateral pleural effusions as on prior with slight interval enlargement on the right .