Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small bilateral pleural effusions , right greater than left , are unchanged compared to the prior study . There is stable mild cardiomegaly . The aorta is tortuous . Loss of volume of the right middle lobe , coarse calcification in the right breast and emphysema are better evaluated on the CT from ___ . There is no pneumothorax . Moderate - to - severe degenerative changes are present in the thoracic spine . There is a right - sided chest tube in stable position .
    OUTPUT:
    
Overall stable small bilateral pleural effusions , right greater than left , unchanged compared to the prior exam .