Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and show a small right lower lobe opacity . The cardiac silhouette is enlarged . The mediastinal silhouette and hilar contours are normal . There are small bilateral pleural effusions . No pneumothorax is present . No definite rib fractures are noted , although if this is of clinical concern , then a dedicated rib series is recommended . A fracture of the left distal clavicle is of uncertain acuity .
    OUTPUT:
    
1 . Small bilateral effusions . No definite pneumothorax . 2 . A fracture of the left distal clavicle is of indeterminate chronicity . Correlation with site of pain is recommended .