Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged , similar in extent to prior exam . The mediastinal contours are within normal limits given the degree of rotation of the patient . The lungs are clear with lobar consolidation , although bibasilar atelectasis is present . No interstitial edema or septal thickening is present . Blunting of the bilateral costophrenic angles suggests small bilateral pleural effusions as well . There is no pneumothorax . The bones demonstrate bilateral degenerative changes of the glenohumeral joints . Multiple bilateral old rib fractures are present , more prominent on the right than the left .
    OUTPUT:
    
Cardiomegaly with small bilateral pleural effusions .